Individual
BRITTANY GAUTREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4142 24TH ST APT 1316, LONG ISLAND CITY, NY 11101-4025
(516) 606-0370
Mailing address
4142 24TH ST APT 1316, LONG ISLAND CITY, NY 11101-4025
(516) 606-0370
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
093741
NY
Other
Enumeration date
08/02/2018
Last updated
09/07/2022
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