Anita G. Risener, LCSW-R

NPI #1225106792 in Medford, New York

Provider Information

NPI Number
1225106792
Entity Type
Individual
Name
Anita G. Risener, LCSW-R
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW-R
Enumeration Date
Dec 1, 2006
Last Updated
Oct 5, 2016

Practice Location

Address
3293 RT 112
Address 2
BLG 8 SUITE 8
ZIP Code
11763-1432
Phone
(631) 331-8595

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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