Individual
ANIKA JANSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
606 JOHNSON AVE STE 34, BOHEMIA, NY 11716-2689
(631) 503-1539
Mailing address
6 LONG ST, LAKE GROVE, NY 11755-1710
(631) 466-8213
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/22/2021
Last updated
01/22/2021
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