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Individual

MS. CAROLYN VALENZUELA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
344 FULTON AVE, HEMPSTEAD, NY 11550-3923
(516) 538-2613
(516) 538-2515
Mailing address
344 FULTON AVE, HEMPSTEAD, NY 11550-3923
(516) 538-2613
(516) 538-2515

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary
089971
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
089971
LICENSE NUMBER
NY
Enumeration date
09/08/2017
Last updated
10/28/2020
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