Individual
MRS. ALICIA BRIDGRAJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
160 BEACH 117TH ST, APT 5B, ROCKAWAY PARK, NY 11694-2041
(917) 293-2506
Mailing address
160 BEACH 117TH ST, APT 5B, ROCKAWAY PARK, NY 11694-2041
(917) 293-2506
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
086251
NY
Other
Enumeration date
08/08/2013
Last updated
08/08/2013
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