Stephanie Southard, LCSW

NPI #1952060824 in Sound Beach, New York

Provider Information

NPI Number
1952060824
Entity Type
Individual
Name
Stephanie Southard, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Dec 8, 2021
Last Updated
Dec 8, 2021

Practice Location

Address
44 GROVELAND PARK BLVD
ZIP Code
11789-2540
Phone
(631) 745-5150

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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