Individual
ANNA C TELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6714 41ST AVE, WOODSIDE, NY 11377-3790
(718) 458-4243
Mailing address
67 JANNARONE ST, BELLEVILLE, NJ 07109-2341
(201) 463-6228
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
077870-1
NY
Other
Enumeration date
02/01/2007
Last updated
10/20/2010
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