Individual
ALICE N ADOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
630 GRAMATAN AVE APT 4W, MOUNT VERNON, NY 10552-1836
(914) 263-9527
Mailing address
630 GRAMATAN AVE APT 4W, MOUNT VERNON, NY 10552-1836
(914) 263-9527
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
086332
NY
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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