Individual
CASSANDRA JACQUELINE LOTKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
35 ROOSEVELT ST, GLEN COVE, NY 11542-1934
(845) 705-8401
Mailing address
35 ROOSEVELT ST, GLEN COVE, NY 11542-1934
(845) 705-8401
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
125434
NY
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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