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MS. MARY CONNOLLY LMSW

Behavioral Analyst

Staten Island, New York

Provider NPI: 1417283615

Provider Information:
MS. MARY  CONNOLLY LMSW
Gender: F
Sole Proprietor


Practice Location:
92 EVERGREEN ST  STATEN ISLAND, NY 10308 US
Tel: 718-344-4981  Fax: --

Business Mailing Address:
92 EVERGREEN ST  STATEN ISLAND, NY 10308 US
Tel: 718-344-4981  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103K00000X

NY6072764

Other Provider Identifiers:

IssuerNumberStateType
STATE CERTIFICATATE LMSW6072764NY01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







BEHAVIORAL ANALYST JOBS NY - Page 1



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