Individual
CAROL LETHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-4108
(631) 444-2552
Mailing address
101 NICOLLS RD, STONY BROOK, NY 11794-0001
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
066262-1
NY
Other
Enumeration date
03/13/2007
Last updated
02/21/2013
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