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Contact Information

MARY E BROUGHTON, LCSW
243 MAIN ST
SUITE 203
NEW PALTZ, NY12561-1325
 Phone: 845-255-8323
 Fax: 845-255-5832
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for MARY E BROUGHTON · (Female)

NPI # 1013067180
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 01/11/2007
Last updated 08/16/2010 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # R0259181
  • NY Other GHI 7400885 GHI
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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