Individual
CARLA MIRRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
111 LIVINGSTON STREET, SUITE 1101, BROOKLYN, NY 11201
(718) 625-4055
Mailing address
31-64 21 STREET, APT 6D, ASTORIA, NY 11106
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/28/2013
Last updated
06/28/2013
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