DR. Terry S Audate, LCSW-R

NPI #1992173751 in Rosedale, New York

Provider Information

NPI Number: 1992173751
Entity Type: Individual
Name: DR. Terry S Audate, LCSW-R
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW-R
Enumeration Date: Sep 10, 2015
Last Updated: Jun 14, 2023

Practice Location

Address: 23318 130TH AVE
City: Rosedale
State: New York
ZIP Code: 11422-1102
Phone: (646) 423-1286

Specialties & Taxonomy Codes

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

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