| Marlene Small Lcsw Pc | |
|
6750 Thornton Pl Apt 2g Forest Hills NY 11375-4180 | |
| (337) 242-7469 | |
| (254) 613-4515 |
| Full Name | Marlene Small Lcsw Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6750 Thornton Pl Apt 2g, Forest Hills, New York |
| Authorized Official Name and Position | Marlene Small (OWNER/PROVIDER) |
| Authorized Official Contact | 3372427469 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marlene Small Lcsw Pc 6750 Thornton Pl Apt 2g Forest Hills NY 11375-4180 Ph: (337) 242-7469 | Marlene Small Lcsw Pc 6750 Thornton Pl Apt 2g Forest Hills NY 11375-4180 Ph: (337) 242-7469 |
| NPI Number | 1194392027 |
|---|---|
| Provider Enumeration Date | 06/09/2021 |
| Last Update Date | 07/24/2023 |
| Certification Date | 07/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194392027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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