Individual
MARGARET DOMINIQUE-MCLAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
88 MADISON ST, MASTIC, NY 11950-3811
(631) 399-5833
Mailing address
88 MADISON ST, MASTIC, NY 11950-3811
(631) 399-5833
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
074857
NY
1041S0200X
School Social Worker
Primary
074857
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
074857
LMSW
NY
Enumeration date
07/30/2010
Last updated
01/27/2013
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