MR. Bobby L Staley, L.C.S.W.

NPI #1649512112 in Hollis, New York

Provider Information

NPI Number
1649512112
Entity Type
Individual
Name
MR. Bobby L Staley, L.C.S.W.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
L.C.S.W.
Enumeration Date
Mar 22, 2013
Last Updated
Feb 7, 2019

Practice Location

Address
19605 FOOTHILL AVE
City
Hollis
ZIP Code
11423-1413
Phone
(917) 680-0082

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)
Social Worker - ClinicalClinical

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