Individual
ANEESA IBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2381 HYLAN BLVD STE 13, STATEN ISLAND, NY 10306-3145
(800) 277-4681
Mailing address
2381 HYLAN BLVD STE 13, STATEN ISLAND, NY 10306-3145
(800) 277-4681
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
091347
NY
1041C0700X
Clinical Social Worker
Primary
090093
NY
Other
Enumeration date
07/28/2016
Last updated
11/04/2022
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