Individual
MS. CARMEN REGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R LCSW
Contact information
Practice address
130 GARFIELD ST, FREEPORT, NY 11520-5614
(516) 909-1189
Mailing address
130 GARFIELD ST, FREEPORT, NY 11520-5614
(516) 909-1189
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
R073032
NY
Other
Enumeration date
09/16/2013
Last updated
09/16/2013
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