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NPI Profile for LYNDA J BAMBOLA in WESTHAMPTON BEACH, NY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
School |
101YS0200X |
| NPI # | 1821386327 |
|
| Status | Active | |
| Credentials | LCSW (Licensed Clinical Social Worker) | |
| Entity | Individual | |
| Enumeration date | 07/18/2011 | |
| Last updated | 07/18/2011 - About 15 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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LYNDA J BAMBOLA
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LYNDA J BAMBOLA, LCSW