Individual
ALYSSA ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
100 WASHINGTON ST, ELMIRA, NY 14901-2849
(607) 737-4830
Mailing address
402 MAPLE DR, ELMIRA, NY 14904-3013
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
097543
NY
Other
Enumeration date
01/19/2018
Last updated
01/19/2018
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