Individual
MICHELLE KLINKOWIZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
255 EXECUTIVE DR STE LL108, PLAINVIEW, NY 11803
(516) 576-2040
(516) 576-2131
Mailing address
8 ADDISON PL, DIX HILLS, NY 11746-6802
(646) 701-1302
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
049163-1
NY
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/04/2016
Last updated
08/07/2018
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