Individual
ALYSA TENENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW, MSED
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
076741-1
NY
1041S0200X
School Social Worker
756408
NY
Other
Enumeration date
01/04/2011
Last updated
01/04/2011
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