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Individual

ANDREA I PERSAUD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW, CASAC

Contact information

Practice address
89-56 162 STREET 3 FLOOR, JAMAICA, NY 11432
(718) 297-8000
(718) 262-8228
Mailing address
331 E 29TH ST APT 12N, NEW YORK, NY 10016-8355
(212) 447-9192

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
070571-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02690797
NY
Enumeration date
01/31/2007
Last updated
07/08/2007
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