Individual
MS. ALISASHIE AMIE NUTAKOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1050 NEW YORK AVE, BROOKLYN, NY 11203-3812
(917) 568-5572
Mailing address
1050 NEW YORK AVE, BROOKLYN, NY 11203-3812
(917) 568-5572
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
090829
NY
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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