Christina Ferlise-Clark, LCSWR

NPI #1538485511 in Nesconset, New York

Provider Information

NPI Number: 1538485511
Entity Type: Individual
Name: Christina Ferlise-Clark, LCSWR
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LCSWR
Enumeration Date: Apr 15, 2010
Last Updated: Apr 15, 2010

Practice Location

Address: 206 NICHOLS RD
City: Nesconset
State: New York
ZIP Code: 11767
Phone: (631) 585-4855

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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