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Individual

BRIGITTE CONSTABLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
239 GOLDEN HILL LN, KINGSTON, NY 12401-6441
(845) 340-4116
Mailing address
8 TILLSON RD, TILLSON, NY 12486-1611
(845) 658-3496

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
079815-1
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/30/2008
Last updated
01/08/2010
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