Individual
AMALIA ROSE SIRICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
188 WOODBINE AVE, NORTHPORT, NY 11768-2819
(631) 748-9811
Mailing address
188 WOODBINE AVE, NORTHPORT, NY 11768-2819
(631) 748-9811
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
086492
NY
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/16/2018
Last updated
12/08/2022
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