Individual
MS. ALICE PSIRAKIS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
5250 NEW JERSEY AVE, FORT DIX, NJ 08640-5017
(609) 562-3141
(609) 562-4935
Mailing address
8701 MIDLAND PKWY, 3D, JAMAICA, NY 11432-4751
(347) 731-1546
(609) 562-4935
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
059660
NY
Other
Enumeration date
02/06/2006
Last updated
07/08/2007
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