Individual
STACEY CIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1233 OCEAN AVE APT 3D, BROOKLYN, NY 11230-2509
(347) 633-4873
Mailing address
1233 OCEAN AVE APT 3D, BROOKLYN, NY 11230-2509
(347) 633-4873
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1136914171
NY
Other
Enumeration date
07/27/2017
Last updated
07/21/2022
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