DR. CAROL POTRUCH, LCSW, PHD
Social Worker - Clinical
Active
Individual
NPI: 1003992611
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | R040274-1 (NY) |
Frequently Asked Questions
NPI 1003992611 is the National Provider Identifier for DR. CAROL POTRUCH, LCSW, PHD, a Social Worker - Clinical provider located in Mineola, NY. This NPI was enumerated on October 27, 2006.
DR. CAROL POTRUCH, LCSW, PHD practices at 1527 FRANKLIN AVE, SUITE 203, Mineola, NY 11501.
Quick Facts
- NPI
- 1003992611
- Type
- Individual
- Enumerated
- Oct 27, 2006
- Last Updated
- Jul 8, 2007
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