Individual
CIVITA ANNA VITIELLO-ALVARADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
77D EDGEWATER PARK, BRONX, NY 10465-3518
(914) 309-6228
Mailing address
77D EDGEWATER PARK, BRONX, NY 10465-3518
(914) 309-6228
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
108143
NY
1041S0200X
School Social Worker
108143
NY
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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