Provider Demographics
NPI:1437385432
Name:HUNTER, DELORES JEAN (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:DELORES
Middle Name:JEAN
Last Name:HUNTER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 FOX HOLLOW ROAD - 196
Mailing Address - Street 2:
Mailing Address - City:HILLBURN
Mailing Address - State:NY
Mailing Address - Zip Code:10931
Mailing Address - Country:US
Mailing Address - Phone:845-368-7847
Mailing Address - Fax:
Practice Address - Street 1:16 FOX HOLLOW ROAD - 196
Practice Address - Street 2:
Practice Address - City:HILLBURN
Practice Address - State:NY
Practice Address - Zip Code:10931
Practice Address - Country:US
Practice Address - Phone:845-369-7847
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-04
Last Update Date:2009-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY061511104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker