Crystal Noel Vaccaro, LMSW

NPI #1194295667 in Huntington, New York

Provider Information

NPI Number: 1194295667
Entity Type: Individual
Name: Crystal Noel Vaccaro, LMSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Nov 28, 2018
Last Updated: Nov 28, 2018

Practice Location

Address: 790 PARK AVE
City: Huntington
State: New York
ZIP Code: 11743-4516
Phone: (631) 425-9694

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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