LONG ISLAND CITY PSYCHOTHERAPY SERVICES LCSW, PC
Ambulatory Health at 27 Ave, Long Island City, NY

License number
New York R006721
Category
Ambulatory Health
Type
Mental Health (Including Community Mental Health Center)
Owner
Name: MRS. MURIEL DETHOMAS LCSW
Title: PRESIDENT
Phone: (718) 721-0606
Address
Address
301 27Th Ave, Long Island City, NY 11102
National Provider ID: 1669730826
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LONG ISLAND CITY PSYCHOTHERAPY SERVICES, LCSW, PC

Long Island City, NY

Industry:
Individual/Family Services, Nonclassifiable Establishments
Registration:
Apr 6, 2012
Addresses:
3-01 27 Ave, Astoria, NY 11102 (Physical)
301 27 Ave, Long Island City, NY 11102
State ID:
4227919
Business type:
DOMESTIC PROFESSIONAL CORPORATION

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