Individual
CHRISTINE NICOLE CLEGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
217 E 87TH ST, NEW YORK, NY 10128-3200
(212) 876-7427
Mailing address
PO BOX 656, NEW YORK, NY 10028-0006
(212) 876-7427
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
077155
NY
104100000X
Social Worker
70236053502
UT
Other
Enumeration date
07/21/2008
Last updated
11/08/2011
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