Organization
BRENDAN TWIST LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDAN TWIST LCSW (OWNER)
(516) 428-7140
Entity
Organization
Contact information
Practice address
340 ROUTE 202 STE H, SOMERS, NY 10589-3289
(516) 428-7140
Mailing address
4 CAMEO CT, CARMEL, NY 10512-2231
(516) 428-7140
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/12/2024
Last updated
04/09/2024
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