Individual
BRITTANY SHEA BOURBIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8114 257TH ST, GLEN OAKS, NY 11004-1440
(718) 831-4000
Mailing address
138 MAIN ST # 1040, EAST ROCKAWAY, NY 11518-1702
(914) 715-1177
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
088544
NY
1041C0700X
Clinical Social Worker
097866
NY
Other
Enumeration date
09/21/2015
Last updated
11/10/2025
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