Individual
ALISA JANET AHERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
269 W MAIN ST FL 2, BAY SHORE, NY 11706-8319
(631) 666-1951
(631) 593-5472
Mailing address
34 FIRE ROAD DR, BAY SHORE, NY 11706-3947
(631) 666-1951
(631) 593-5472
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
081277
NY
Other
Enumeration date
01/25/2017
Last updated
01/25/2017
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