Individual
MS. ANGELINA GRAZIOSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
57190 MAIN RD, SOUTHOLD, NY 11971-4750
(631) 626-1006
Mailing address
40 GLEN KEITH RD APT U, GLEN COVE, NY 11542-3515
(516) 659-6114
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
070346
NY
Other
Enumeration date
10/31/2007
Last updated
02/01/2021
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