Marissa Brianne Kubicki, LMSW

NPI #1578948444 in Old Bethpage, New York

Provider Information

NPI Number: 1578948444
Entity Type: Individual
Name: Marissa Brianne Kubicki, LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Jul 21, 2015
Last Updated: Jul 21, 2015

Practice Location

Address: 191 SWEET HOLLOW RD
City: Old Bethpage
State: New York
ZIP Code: 11804-1342
Phone: (516) 870-1600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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