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Edward Love JR.
Professional Counselor in Mastic, New York
NPI 1730834854

Edward Love JR. is a Professional Counselor based in Mastic, NY and is specialized in Professional. Edward Love JR. practices in Mastic, NY. The NPI Number for Edward Love JR. is 1730834854 and holds a License No. (New York).

The current practice location address for Edward Love JR. is 27 Broadway, Mastic, NY and can be reached out via phone at 631-381-7693.

Location: 27 Broadway, Mastic, NY, 11950-2401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730834854
Provider Name
Edward Love JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
27 Broadway, Mastic, NY, 11950-2401
Phone Number
631-381-7693
Fax Number
Provider Enumeration Date
02/17/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
27 Broadway
City
Mastic
State
New York
Zip
11950-2401
Phone Number
631-381-7693
Fax Number
person
Provider Business Mailing Address Details
Address
27 Broadway
City
Mastic
State
New York
Zip
11950-2401
Phone Number
631-381-7693
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
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