Individual
ALYSSA DESANTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
191 HURON ST, BROOKLYN, NY 11222-5994
(631) 561-5257
Mailing address
191 HURON ST, BROOKLYN, NY 11222-5994
(631) 561-5257
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
097687-01
NY
Other
Enumeration date
07/05/2024
Last updated
07/05/2024
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