Individual
MS. ALICE T ELLERBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
280 9TH AVE, APT 20F, NEW YORK, NY 10001-5702
(917) 414-4921
Mailing address
280 9TH AVE, APT 20F, NEW YORK, NY 10001-5702
(917) 414-4921
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
097994-1
NY
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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