Individual
COLIN JAMES LOURIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
80 5TH AVE RM 903A, NEW YORK, NY 10011
(212) 633-9162
Mailing address
80 5TH AVE RM 903, NEW YORK, NY 10011-7611
(212) 633-9162
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
103787
NY
Other
Enumeration date
07/11/2018
Last updated
07/25/2018
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