Individual provider · Type 1 NPI
Grace Ann Reynolds Victor, LCSW
School Social Worker · Centereach, NY
NPI number
1104102334
Active
Practice location
28 Wood Rd
Centereach, NY 11720-1620
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| School Social Worker Primary | 1041S0200X | R080813-1 (NY) |
School Social Worker: Definition to come...
About NPI 1104102334
Grace Ann Reynolds Victor, LCSW's National Provider Identifier is 1104102334, issued on Nov 2, 2011. The primary taxonomy on file is School Social Worker (1041S0200X), and the practice location is in Centereach, NY. The record was last updated on Sep 30, 2014.