Individual
ALLISON M HENNESSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
480 OLD WESTBURY RD, ROSLYN HEIGHTS, NY 11577-2215
(516) 626-1971
Mailing address
67 LYNBROOK DR, MASTIC BEACH, NY 11951-6505
(631) 268-8643
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
107814
NY
Other
Enumeration date
01/15/2020
Last updated
01/15/2020
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