License Detail

NameBOSGANG-WACHS RACHEL A
AddressLONG BEACHNY
ProfessionLICENSED CLINICAL SOCIAL WORK
License No041636
Date of Licensure09/01/04  (OriginallylicensedasaCertifiedSocialWorkeron09/05/90)
Additional QualificationR -Psychotherapy Privilege
StatusREGISTERED
Registered through last day of

Comments