Individual
ALLISON SOUTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2536 WANTAGH AVE, WANTAGH, NY 11793-4440
(516) 220-8554
Mailing address
2536 WANTAGH AVE, WANTAGH, NY 11793-4440
(516) 220-8554
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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