Butterfly Lcsw PC

NPI #1023349297 in Bay Shore, New York

Provider Information

NPI Number: 1023349297
Entity Type: Organization
Organization Name: Butterfly Lcsw PC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jan 27, 2010
Last Updated: Apr 14, 2020

Practice Location

Address: 83 E MAIN ST
City: Bay Shore
State: New York
ZIP Code: 11706-8305
Phone: (631) 666-5067

Authorized Official

Name: DR. JEAN BACON, PHD, LCSW
Title: CLINICAL DIRECTOR
Phone: (631) 666-5067

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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