Individual
BLAIR GALLIN HERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
91-14 37TH AVE, JACKSON HEIGHTS, NY 11372
(718) 779-1831
Mailing address
91-14 37TH AVE, JACKSON HEIGHTS, NY 11372
(718) 779-1831
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
076311-1
NY
Other
Enumeration date
11/19/2010
Last updated
04/25/2012
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