Individual
MRS. AMY DULLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
13 LAKESHORE BLVD, MASSAPEQUA, NY 11758-5902
(516) 797-0068
Mailing address
13 LAKESHORE BLVD, MASSAPEQUA, NY 11758-5902
(516) 797-0068
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
050802
NY
Other
Enumeration date
02/01/2012
Last updated
02/01/2012
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