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Individual

ALYSSA RACHEL PETERSEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
216 E 14TH ST, NEW YORK, NY 10003
(631) 374-8997
Mailing address
451 STATE ST APT 8, BROOKLYN, NY 11217-1816

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
100712
NY

Other

Enumeration date
08/14/2017
Last updated
05/14/2018
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