MRS. Kristie Marie Urdahl, LCSW

NPI #1922725308 in Patchogue, New York

Provider Information

NPI Number: 1922725308
Entity Type: Individual
Name: MRS. Kristie Marie Urdahl, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Oct 26, 2022
Last Updated: Oct 26, 2022

Practice Location

Address: 201 SUNRISE HWY W
City: Patchogue
State: New York
ZIP Code: 11772-1868
Phone: (631) 289-2200

Specialties & Taxonomy Codes

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

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