Mary Gravina, LCSW-R
NPI #1487078028 in East Islip, New York
Provider Information
- NPI Number
- 1487078028
- Entity Type
- Individual
- Name
- Mary Gravina, LCSW-R
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW-R
- Enumeration Date
- Feb 18, 2014
- Last Updated
- Feb 18, 2014
Practice Location
- Address
- 216 CARLETON AVE
- City
- East Islip
- State
- New York
- ZIP Code
- 11730-1222
- Phone
- (516) 901-0991
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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