Individual
ALYSSA MARIE VENTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
17 FORDHAM RD, WEST BABYLON, NY 11704-5803
(631) 321-7011
Mailing address
1314 SMITHTOWN AVE APT 29, BOHEMIA, NY 11716-2149
(631) 793-1601
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
119321
NY
Other
Enumeration date
06/07/2023
Last updated
06/07/2023
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