Individual
MRS. ANNIE ABRAHAM JOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8956 162ND ST, JAMAICA, NY 11432-5072
(718) 657-7100
(718) 657-7137
Mailing address
25 BORDER ST, HICKSVILLE, NY 11801-3756
(516) 390-5621
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R053647-1
NY
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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