Organization
MARBLED MIND, LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOWOON PARK LCSW (DIRECTOR, PSYCHOTHERAPIST)
(917) 524-8621
Entity
Organization
Contact information
Practice address
397 BRIDGE ST, BROOKLYN, NY 11201-5292
(917) 524-8621
Mailing address
16 CANTERBURY RD APT 2H, GREAT NECK, NY 11021-2134
(917) 524-8621
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/10/2025
Last updated
01/10/2025
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