Individual
MS. CHARISSE EBREO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
113 E 60TH ST, NEW YORK, NY 10022-1939
(917) 262-0003
Mailing address
113 E 60TH ST, NEW YORK, NY 10022-1939
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
084415
NY
1041C0700X
Clinical Social Worker
Primary
085651
NY
Other
Enumeration date
10/13/2011
Last updated
12/08/2022
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