Individual
MS. ASHLEY LYNN COLLETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11515 SUTPHIN BLVD, JAMAICA, NY 11434-1020
(718) 659-4000
(718) 659-1405
Mailing address
6172 70TH ST, MIDDLE VILLAGE, NY 11379-1212
(917) 903-1545
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
084418-1
NY
1041C0700X
Clinical Social Worker
Primary
084155-1
NY
Other
Enumeration date
04/26/2014
Last updated
03/23/2016
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