Individual
ANGELA STAZZONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
17810 WEXFORD TER, JAMAICA, NY 11432-3050
(718) 658-1123
Mailing address
139 FOSTER AVE, VALLEY STREAM, NY 11580-4726
(516) 241-6535
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
076065-1
NY
Other
Enumeration date
05/07/2008
Last updated
05/07/2008
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