Individual
SABRINA MACHUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
49 PARK AVE, HICKSVILLE, NY 11801-4357
(718) 888-6665
Mailing address
49 PARK AVE, HICKSVILLE, NY 11801-4357
(631) 961-6183
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
08901301
NY
Other
Enumeration date
01/27/2020
Last updated
01/27/2020
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