Individual
MRS. ALICE MARIA WHEATLEY-STREET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7 W BURNSIDE AVE, 3RD FLOOR, BRONX, NY 10453-4003
(718) 561-4340
(718) 220-1938
Mailing address
750 ASTOR AVE, BRONX, NY 10467-9304
(718) 882-5000
(718) 798-7633
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PO25610-1
NY
Other
Enumeration date
11/20/2006
Last updated
10/07/2009
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