MRS. Kim Stacey Spicciatie, LCSW
NPI #1679857262 in East Islip, New York
Provider Information
- NPI Number
- 1679857262
- Entity Type
- Individual
- Name
- MRS. Kim Stacey Spicciatie, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Oct 1, 2011
- Last Updated
- Mar 2, 2012
Practice Location
- Address
- 153 SIMMONS DR
- City
- East Islip
- State
- New York
- ZIP Code
- 11730-3436
- Phone
- (631) 859-0738
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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