Individual
MS. ALICIA MONIQUE HANSOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
50 E 191ST ST APT 1E, BRONX, NY 10468-4580
(347) 325-8644
Mailing address
50 E 191ST ST APT 1E, BRONX, NY 10468-4580
(347) 325-8644
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
077849
NY
1041C0700X
Clinical Social Worker
Primary
077849
NY
Other
Enumeration date
08/17/2012
Last updated
08/17/2012
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