MS. Eleanor Ponce, L.C.S.W-R

NPI #1104136308 in Bay Shore, New York

Provider Information

NPI Number: 1104136308
Entity Type: Individual
Name: MS. Eleanor Ponce, L.C.S.W-R
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - School
Credential: L.C.S.W-R
Enumeration Date: Oct 21, 2010
Last Updated: Oct 22, 2010

Practice Location

Address: 795 WISCONSIN AVE
City: Bay Shore
State: New York
ZIP Code: 11706-2336
Phone: (631) 434-2401

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - School — School	1041S0200X	Primary
Social Worker - Clinical — Clinical	1041C0700X

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