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Individual

ANDREA JANE DISPENZIERE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
171 MADISON AVE STE 400, NEW YORK, NY 10016-5153
(201) 874-6911
Mailing address
221 AVENUE B APT 1, NEW YORK, NY 10009-3355
(201) 874-6911

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
091180-01
NY

Other

Enumeration date
07/06/2021
Last updated
07/06/2021
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