Individual
MRS. BROOKE YONICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
189 ACADEMY ST, BAYPORT, NY 11705-1704
(631) 472-7860
Mailing address
189 ACADEMY ST, BAYPORT, NY 11705-1704
(631) 472-7860
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
071211
NY
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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