Individual
MS. CAROL ANN ASSENZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
348 W 23RD ST, DEER PARK, NY 11729-6331
(631) 243-5180
(631) 370-1886
Mailing address
348 W 23RD ST, DEER PARK, NY 11729-6331
(631) 243-5180
(631) 370-1886
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
072169-1
NY
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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