Individual
MRS. ALCIA PETERKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6729 MYRTLE AVENUE, GLENDALE, NY 11385
(718) 456-7001
Mailing address
6729 MYRTLE AVENUE, GLENDALE, NY 11385
(718) 456-7001
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
091811-1
NY
1041C0700X
Clinical Social Worker
Primary
085275-1
NY
Other
Enumeration date
08/06/2014
Last updated
03/16/2017
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