Individual
ALISHA CORDERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
10 TYBURN LN, SOUTH SETAUKET, NY 11720-1428
(516) 698-5511
Mailing address
10 TYBURN LN, SOUTH SETAUKET, NY 11720-1428
(516) 698-5511
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
097282-1
NY
Other
Enumeration date
01/22/2018
Last updated
01/22/2018
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