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Individual

ASHLEY RASTELLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
801 E PARK AVE, LONG BEACH, NY 11561-2709
(516) 670-5221
Mailing address
4 TALL OAKS CT, MANORVILLE, NY 11949-2012
(516) 670-5221

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
090033
NY

Other

Enumeration date
04/18/2018
Last updated
09/02/2021
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