Marlene Tianne Dmytryshyn I, LCSW

NPI #1245968551 in Setauket, New York

Provider Information

NPI Number
1245968551
Entity Type
Individual
Name
Marlene Tianne Dmytryshyn I, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Aug 13, 2022
Last Updated
Aug 13, 2022

Practice Location

Address
3 SILVER BEECH CT
ZIP Code
11733-4039
Phone
(631) 252-2907

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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