Organization
20-20 PATHWAYS LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA TERESA BELIVEAU LCSW (CLINICAL SOCIAL WORKER)
(631) 807-0761
Entity
Organization
Contact information
Practice address
64 NORTHRIDGE AVE, N MERRICK, NY 11566-1928
(631) 807-0761
Mailing address
64 NORTHRIDGE AVE, N MERRICK, NY 11566
(631) 807-0761
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R070249-1
NY
Other
Enumeration date
09/28/2011
Last updated
10/07/2011
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