Individual
MS. CELINE BOBB-INNISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
250 FULTON AVE STE 418, HEMPSTEAD, NY 11550-3916
(516) 858-5001
(646) 274-3955
Mailing address
11305 202ND ST, SAINT ALBANS, NY 11412-2530
(718) 264-7803
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R047220-1
NY
Other
Enumeration date
03/19/2010
Last updated
11/27/2019
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