Organization
CREATING CONNECTIONS TOGETHER, LCSW,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOANN MAZZOCCHI-FLEITZ LCSW-R (DIRECTOR)
(845) 227-6574
Entity
Organization
Contact information
Practice address
19 ROSE ST, POUGHQUAG, NY 12570-5733
(845) 227-6574
(845) 227-7450
Mailing address
19 ROSE ST, POUGHQUAG, NY 12570-5733
(845) 227-6574
(845) 227-7450
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
069872-1
NY
Other
Enumeration date
05/29/2009
Last updated
05/29/2009
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