Organization
BRANDI PERUSOMALA LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRANDI ROCHELLE PERUSOMALA LCSW (OWNER)
(845) 202-0715
Entity
Organization
Contact information
Practice address
1111 ROUTE 9 # 1, GARRISON, NY 10524-3237
(845) 202-0715
Mailing address
3718 COLONIST TRL, NEW WINDSOR, NY 12553-4940
(917) 573-5261
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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