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Individual

ALISA LASKY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
795 WILSON ST, VALLEY STREAM, NY 11581-3527
(516) 295-1795
Mailing address
795 WILSON ST, VALLEY STREAM, NY 11581-3527

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
069158
NY

Other

Enumeration date
06/23/2010
Last updated
06/23/2010
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