Chad Theall, LMSW

NPI #1952139172 in Central Islip, New York

Provider Information

NPI Number: 1952139172
Entity Type: Individual
Name: Chad Theall, LMSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Jul 22, 2024
Last Updated: Jul 22, 2024

Practice Location

Address: 85 WHEELER RD
City: Central Islip
State: New York
ZIP Code: 11722-2028
Phone: (631) 348-5079

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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