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Individual

MRS. ADAIAH TANISHA LASSALLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
401 E 147TH ST, NEW BEGINNING COMMUNITY COUNSELING CENTER, BRONX, NY 10455
(718) 402-5250
Mailing address
27 RED OAKS MILL RD, POUGHKEEPSIE, NY 12603
(917) 488-2218

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0745121
NY

Other

Enumeration date
01/23/2007
Last updated
07/08/2007
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