Psychotherapy Lcsw PC
NPI #1063992345 in Queens Village, New York
Provider Information
- NPI Number
- 1063992345
- Entity Type
- Organization
- Organization Name
- Psychotherapy Lcsw PC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Aug 16, 2018
- Last Updated
- Aug 16, 2018
Practice Location
- Address
- 9029 218TH PL
- City
- Queens Village
- State
- New York
- ZIP Code
- 11428-1336
- Phone
- (347) 682-7023
Authorized Official
- Name
- ADALGIZA SANDOVAL, LCSW
- Title
- OWNER
- Phone
- (347) 680-7023
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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