Individual
MRS. KATHERINE CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
20 RIVERLEIGH AVE, RIVERHEAD, NY 11901-3674
(631) 239-7344
Mailing address
107 AUSTIN ST, PATCHOGUE, NY 11772-2614
(917) 676-3859
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
110452
NY
Other
Enumeration date
07/12/2022
Last updated
07/12/2022
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