Individual
BARBARA RUTH SHERYLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7555 MAIN RD, MATTITUCK, NY 11952-1516
(631) 298-8642
Mailing address
2140 BRIDGE LN, CUTCHOGUE, NY 11935-1307
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
078159-1
NY
104100000X
Social Worker
0781591
NY
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
05/02/2019
Last updated
05/02/2019
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