Individual
ALICIA MAE ITALIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6 ONEIDA AVE, SOUTH SETAUKET, NY 11720-1133
(631) 291-1186
Mailing address
6 ONEIDA AVE, SOUTH SETAUKET, NY 11720-1133
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/30/2019
Last updated
11/30/2019
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