Sharon Forman, LCSW

NPI #1740399369 in Tappan, New York

Provider Information

NPI Number: 1740399369
Entity Type: Individual
Name: Sharon Forman, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Aug 29, 2006
Last Updated: Oct 4, 2007

Practice Location

Address: 11 POLHEMUS ST
Address 2: SUITE 1
City: Tappan
State: New York
ZIP Code: 10983-1722
Phone: (845) 536-8875

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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