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Organization

HEART AND SOUL LCSW P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JENNIFER DIBENEDETTO (LICENSED CLINICAL SOCIAL WORKER)
(914) 419-9962
Entity
Organization

Contact information

Practice address
220 ROUTE 6, MAHOPAC, NY 10541-3850
(914) 419-9962
Mailing address
37 MAHOPAC AVE, AMAWALK, NY 10501-1004
(914) 419-9962

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
R038276-1
NY

Other

Enumeration date
07/29/2014
Last updated
07/29/2014
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