Individual
MRS. BRANDI ROCHELLE PERUSOMALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
340 E 24TH ST, NEW YORK, NY 10010-4019
(212) 585-6000
(212) 585-6161
Mailing address
206 W 148TH ST APT 3N, NEW YORK, NY 10039-3129
(917) 573-5261
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
073950
NY
Other
Enumeration date
01/12/2006
Last updated
10/06/2010
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