Orville Jay Hine, LCSW-R

NPI #1174623607 in Fonda, New York

Provider Information

NPI Number: 1174623607
Entity Type: Individual
Name: Orville Jay Hine, LCSW-R
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW-R
Enumeration Date: Sep 24, 2006
Last Updated: May 15, 2009

Practice Location

Address: 1991 HICKORY HILL RD
City: Fonda
State: New York
ZIP Code: 12068-5932
Phone: (518) 853-3812

Specialties & Taxonomy Codes

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

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