Individual
ANNAMMA ABRAHAM KABA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
88 PERRY AVE, STATEN ISLAND, NY 10314-4004
(347) 534-7627
Mailing address
88 PERRY AVE, STATEN ISLAND, NY 10314-4004
(347) 534-7627
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R058142-01
NY
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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