Jean Marie Rafferty LCSW

NPI 1366507840 - Counselor - 101YM0800X

NPI Details
NPI 1366507840
Gender Female
Enumeration Date 12/26/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
821 W JERICHO TPKE
SUITE 7C
SMITHTOWN NY, 11787-3213, US
Phone (631) 864-1875
Fax
Business Location
7 SHELTON CT
COMMACK NY, 11725-2417, US
Phone (631) 291-1900
Fax (631) 543-0592
Toxanomy
Taxonomy Code 101YM0800X
License State New York
License Number R057718-1
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According to our database, Ms. Jean Marie Rafferty LCSW NPI is 1366507840, taxonomy code is 101YM0800X and license number is R057718-1, license state is located at New York. Jean Marie Rafferty LCSW physically located at 821 W Jericho Tpke, Smithtown NY, 11787-3213. NPI Number Jean Marie Rafferty LCSW has the Individual type.

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1366507840 NPI number is provided on an as is basis without warranty of any kind. 1366507840 is maintained by the National Plan & Provider Enumeration System. The contents of Jean Marie Rafferty LCSW are for informational purposes only.