Gail I Mandra Stallone, LCSW

NPI #1124132832 in Melville, New York

Provider Information

NPI Number
1124132832
Entity Type
Individual
Name
Gail I Mandra Stallone, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Aug 18, 2006
Last Updated
Dec 1, 2016

Practice Location

Address
445 BROADHOLLOW RD
Address 2
SUITE 228
ZIP Code
11747-3669
Phone
(631) 827-8200

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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