Eb Licensed Clinical Social Work Services, Pllc

NPI #1407680648 in Woodbury, New York

Provider Information

NPI Number: 1407680648
Entity Type: Organization
Organization Name: Eb Licensed Clinical Social Work Services, Pllc
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Aug 29, 2024
Last Updated: Aug 29, 2024

Practice Location

Address: 65 FROEHLICH FARM BLVD # 812W
City: Woodbury
State: New York
ZIP Code: 11797-2926
Phone: (516) 587-4312

Authorized Official

Name: SING KIT KEITH CHAN
Title: MANAGER
Phone: (917) 304-9203

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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