Individual
CASSANDRA KIANA ELLIOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1909 LONGFELLOW AVE, BRONX, NY 10460-4431
(347) 523-4006
Mailing address
1065 SOUTHERN BLVD, BRONX, NY 10459-2417
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/04/2019
Last updated
05/21/2023
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