Individual
CAITLIN ANN O'DEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 FAIRVIEW PL, HAUPPAUGE, NY 11788-2409
(631) 606-0307
Mailing address
30 FAIRVIEW PL, HAUPPAUGE, NY 11788-2409
(516) 818-5072
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
090519
NY
Other
Enumeration date
01/14/2022
Last updated
01/14/2022
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