Individual
ALLIAH IRTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 RANDALL AVE APT 3M, FREEPORT, NY 11520-2756
(516) 232-7556
Mailing address
20 RANDALL AVE APT 3M, FREEPORT, NY 11520-2756
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
10/02/2020
Last updated
10/02/2020
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