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Individual

ANGELA SHISTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
532 NEPTUNE AVE, RM 200, BROOKLYN, NY 11224-4010
(718) 946-2600
(718) 946-0226
Mailing address
532 NEPTUNE AVE, RM 200, BROOKLYN, NY 11224-4010
(718) 946-2600
(718) 946-0226

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R043689-1
NY

Other

Enumeration date
09/28/2010
Last updated
09/28/2010
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