Individual
COURTNEY HOULIHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 W HAWTHORNE AVE, VALLEY STREAM, NY 11580-6220
(516) 569-6600
Mailing address
28 PEBBLE LN, LEVITTOWN, NY 11756-1212
(516) 417-1791
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/27/2017
Last updated
12/27/2017
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