| Name | DE CARLO BERNADINE ANN |
|---|---|
| Address | BRONXNY |
| Profession | LICENSED CLINICAL SOCIAL WORK |
| License No | 007200 |
| Date of Licensure | 09/01/04 (OriginallylicensedasaCertifiedSocialWorkeron09/17/68) |
| Additional Qualification | R -Psychotherapy Privilege |
| Status | REGISTERED |
| Registered through last day of |