Organization
DEBRA L. TERRY LCSW, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA L TERRY LCSW-R (LICENSED CLINICAL SOCIAL WORKER)
(631) 882-2940
Entity
Organization
Contact information
Practice address
4 PHYLLIS DR STE G, PATCHOGUE, NY 11772-2900
(631) 882-2940
(631) 923-1579
Mailing address
21 PINE TREE RD, HUNTINGTON STATION, NY 11746-7428
(631) 882-2940
(631) 923-1579
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/21/2020
Last updated
08/21/2020
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