Individual
ASTRA TITUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, JD
Contact information
Practice address
4893 NICHOLS RD, BURDETT, NY 14818
(607) 215-5422
Mailing address
PO BOX 50, HECTOR, NY 14841-0050
(607) 215-5422
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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