Individual
MRS. CHRISTINE MARY MACHLICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
66 HAVRID RD, COMMACK, NY 11725
(516) 313-3397
(516) 543-8573
Mailing address
43 ASHLAND DR, KINGS PARK, NY 11754
(631) 366-0469
(631) 543-8573
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
R0500301
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P2579650
OXFORD
NY
Enumeration date
04/17/2007
Last updated
07/08/2007
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