Colleen Rose Maidhof, LMSW

NPI #1316422488 in Copiague, New York

Provider Information

NPI Number: 1316422488
Entity Type: Individual
Name: Colleen Rose Maidhof, LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Sep 25, 2018
Last Updated: Sep 25, 2018

Practice Location

Address: 445 OAK ST FL 2
City: Copiague
State: New York
ZIP Code: 11726-3111
Phone: (631) 561-7277

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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