Individual
ANDREA LYNN CANGIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1050 HALLOCK AVE STE 4, PORT JEFFERSON STATION, NY 11776-1214
(631) 203-7642
Mailing address
1050 HALLOCK AVE STE 4, PORT JEFFERSON STATION, NY 11776-1214
(631) 203-7642
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
088761
NY
1041C0700X
Clinical Social Worker
23865
CA
Other
Enumeration date
10/05/2011
Last updated
07/16/2024
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