Individual
MS. ALICE JOAN ANDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
124 MERRICK AVE, MERRICK, NY 11566-3434
(516) 520-2962
Mailing address
298 RED MAPLE DR S, WANTAGH, NY 11793-1507
(516) 520-2962
(516) 908-3621
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
RO400381
NY
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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