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Individual

ALISSA BROOKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
650 HALLOCK AVE, PORT JEFF STA, NY 11776-1256
(631) 403-3318
Mailing address
14 S DORADO CIR APT 2G, HAUPPAUGE, NY 11788-4634
(585) 797-9270

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
12/11/2020
Last updated
10/21/2024
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