Individual
ALESSIA RUSSELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3109 37TH ST, ASTORIA, NY 11103-3932
(718) 721-4300
Mailing address
15449 21ST AVE, WHITESTONE, NY 11357-3829
(718) 309-0405
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
104756
NY
1041C0700X
Clinical Social Worker
Primary
094266
NY
Other
Enumeration date
11/19/2018
Last updated
06/06/2024
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