Individual
BRYN LEIGH ODONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
121 BROOK ST, GARDEN CITY, NY 11530-6405
(516) 639-4718
Mailing address
600 FRANKLIN AVE, GARDEN CITY, NY 11530-8600
(516) 639-4718
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
100570
NY
Other
Enumeration date
08/28/2018
Last updated
06/06/2024
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