Individual
ALISHA SILVANNA IZQUIERDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
579 COURTLANDT AVE, BRONX, NY 10451-5013
(718) 485-2100
Mailing address
4305 KEPLER AVE, BRONX, NY 10470-2008
(917) 702-4976
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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