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Mrs. Dorothy S Petty, LMSW
Mental Health Counselor in Freeport, New York
NPI 1649453507

Dorothy S Petty is a Mental Health Counselor based in Freeport, NY and is specialized in Mental Health. Dorothy S Petty practices in Freeport, NY and has the professional credentials of LMSW. The NPI Number for Dorothy S Petty is 1649453507 and holds a License No. 077933-1 (New York).

The current practice location address for Dorothy S Petty is 17 W Merrick Rd, Freeport, NY and can be reached out via phone at 516-868-3030.

Location: 17 W Merrick Rd, Freeport, NY, 11520-3826
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649453507
Provider Name
Dorothy S Petty
Credential
LMSW
Provider Entity Type
Individual
Gender
Female
Address
17 W Merrick Rd, Freeport, NY, 11520-3826
Phone Number
516-868-3030
Fax Number
Provider Enumeration Date
12/13/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01666971 05 NY
institution
Provider Business Practice Location Address Details
Address
17 W Merrick Rd
City
Freeport
State
New York
Zip
11520-3826
Phone Number
516-868-3030
Fax Number
person
Provider Business Mailing Address Details
Address
17 W Merrick Rd
City
Freeport
State
New York
Zip
11520-3826
Phone Number
516-868-3030
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
077933-1 (New York)
Definition
Definition to come...
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