MR. Richard Maiorella, LCSW

NPI #1659365914 in East Islip, New York

Provider Information

NPI Number
1659365914
Entity Type
Individual
Name
MR. Richard Maiorella, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Sep 1, 2005
Last Updated
Aug 3, 2011

Practice Location

Address
107 W MAIN ST
Address 2
SUNRISE COUNSELING CENTER
ZIP Code
11730
Phone
(631) 666-1615

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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