Individual
MS. CALLA JO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
110-20 71 ROAD, 111, FOREST HILLS, NY 11375
(718) 793-3133
(718) 793-2023
Mailing address
110-20 71 ROAD, 111, FOREST HILLS, NY 11375
(718) 793-3133
(718) 793-2023
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
062752
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00244826
—
NY
Enumeration date
08/20/2008
Last updated
08/20/2008
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