Organization
NEW FRONTERAS LICENSED CLINICAL SOCIAL WORK SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARA I RODRIGUEZ PHD, LCSW-R (MANAGER)
(845) 219-1638
Entity
Organization
Contact information
Practice address
15 LAWRENCE ST, NYACK, NY 10960-2924
(845) 219-1638
Mailing address
PO BOX 322, NANUET, NY 10954-0322
(845) 219-1638
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
076772
NY
Other
Enumeration date
12/08/2014
Last updated
12/08/2014
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