John Lebrun LCSW

NPI 1013204411 - Social Worker - 1041C0700X

NPI Details
NPI 1013204411
Gender Male
Enumeration Date 07/06/2011
Last Updated 12/12/2015
Entity Type Individual
Active Over 5 years ago
Practice Location
1W MAIN ST 203
SMITHTOWN NY, 11787-2620, US
Phone (631) 656-8555
Fax (631) 656-8553
Business Location
1W MAIN ST 203
SMITHTOWN NY, 11787-2620, US
Phone (631) 656-8555
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State New York
License Number 079264
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According to our database, Mr. John Lebrun LCSW NPI is 1013204411, taxonomy code is 1041C0700X and license number is 079264, license state is located at New York. John Lebrun LCSW physically located at 1w Main St 203, Smithtown NY, 11787-2620. NPI Number John Lebrun LCSW has the Individual type.

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1013204411 NPI number is provided on an as is basis without warranty of any kind. 1013204411 is maintained by the National Plan & Provider Enumeration System. The contents of John Lebrun LCSW are for informational purposes only.