Individual
ANJELI GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
131 ROUTE 25A, ROCKY POINT, NY 11778-9098
(516) 297-1847
Mailing address
23 MICHELLE DR, SHOREHAM, NY 11786-2008
(631) 745-2675
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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