Individual
ANNE MACINNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
75 GRAND AVE, MASSAPEQUA, NY 11758-4905
(516) 799-3203
(516) 799-3081
Mailing address
75 GRAND AVE, MASSAPEQUA, NY 11758-4905
(516) 799-3203
(516) 799-3081
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
090968-1
NY
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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