Individual
ALICIA KULLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2 WILLIAM AVE, EAST ISLIP, NY 11730-2330
(631) 224-7700
(631) 224-7600
Mailing address
2 WILLIAM AVE, EAST ISLIP, NY 11730-2330
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
5120924DUP
NY
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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