Jean Marie Mimmo, LMSW

NPI #1417323221 in Oyster Bay, New York

Provider Information

NPI Number: 1417323221
Entity Type: Individual
Name: Jean Marie Mimmo, LMSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LMSW
Enumeration Date: Aug 16, 2015
Last Updated: Aug 16, 2015

Practice Location

Address: 185 SOUTH ST
City: Oyster Bay
State: New York
ZIP Code: 11771-2254
Phone: (516) 628-8019

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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