Individual
MR. BRENDAN HACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
206 W 104TH ST, APT 35, NEW YORK, NY 10025-4231
(917) 697-2407
Mailing address
206 W 104TH ST, APT 35, NEW YORK, NY 10025-4231
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
085137
NY
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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