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Individual

ANISSA ALLI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
13802 QUEENS BLVD, BRIARWOOD, NY 11435-2642
(718) 206-2000
Mailing address
13802 QUEENS BLVD, FIRST FLOOR, BRIARWOOD, NY 11435-2642

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
094738
NY

Other

Enumeration date
04/20/2017
Last updated
04/20/2017
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