Organization
SML LICENSED MASTER SOCIAL WORKER SERVICES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE MARIE LONGO LMSW (PRESIDENT)
(917) 204-5852
Entity
Organization
Contact information
Practice address
1455 71ST ST, BROOKLYN, NY 11228-1707
(917) 204-5852
Mailing address
22206 BELLA LAGO DR, 1509, BOCA RATON, FL 33433-4842
(917) 204-5852
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
067822
NY
Other
Enumeration date
06/27/2011
Last updated
08/13/2014
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