Individual
MRS. ANTONETTE JULENE WHYTE-ETERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-R, CASAC
Contact information
Practice address
430 SPUR DR N, BAY SHORE, NY 11706-3432
(631) 665-9291
Mailing address
430 SPUR DR N, BAY SHORE, NY 11706-3432
(631) 665-9291
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
10901
NY
1041C0700X
Clinical Social Worker
Primary
R053423
NY
Other
Enumeration date
06/25/2009
Last updated
06/25/2009
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