MRS. Lori A Phelan, MSW

NPI #1932414349 in Deer Park, New York

Provider Information

NPI Number: 1932414349
Entity Type: Individual
Name: MRS. Lori A Phelan, MSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: MSW
Enumeration Date: Aug 10, 2010
Last Updated: Aug 10, 2010

Practice Location

Address: 1014 GRAND BLVD
Address 2: SUITE 5
City: Deer Park
State: New York
ZIP Code: 11729-5782
Phone: (631) 243-1765

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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