Individual
CLARISSA GHAZI-MOGHADAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1430 BROADWAY RM 522, ASTORIA, NY 11106-4530
(646) 351-2818
Mailing address
7666 AUSTIN ST APT 6I, FOREST HILLS, NY 11375-6910
(646) 351-2818
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
083708
NY
Other
Enumeration date
01/29/2020
Last updated
01/29/2020
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