MR. Robert F. Mogollon SR., LCSW

NPI #1003026246 in Merrick, New York

Provider Information

NPI Number: 1003026246
Entity Type: Individual
Name: MR. Robert F. Mogollon SR., LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: May 23, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 124 WEBSTER ST
City: Merrick
State: New York
ZIP Code: 11566-2617
Phone: (516) 993-6337

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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