Individual
ALYSIA CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
108-19 ROCKAWAY BLVD, OZONE PARK, NY 11420
(718) 327-7202
(718) 327-7203
Mailing address
108-19 ROCKAWAY BLVD, OZONE PARK, NY 11420
(718) 327-7202
(718) 327-7203
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
090985-1
NY
Other
Enumeration date
08/22/2014
Last updated
08/22/2014
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