Individual
MS. CARA MAYRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
57 BOWMAN LN, KINGS PARK, NY 11754-2008
(516) 782-2302
Mailing address
57 BOWMAN LN, KINGS PARK, NY 11754-2008
(516) 782-2302
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R043756-1
NY
Other
Enumeration date
01/28/2007
Last updated
07/08/2007
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