Individual
ALLEGRA GRACE D'ALO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
90 DRIVING PARK AVE, LYNBROOK, NY 11563
(516) 851-0738
Mailing address
90 DRIVING PARK AVE, LYNBROOK, NY 11563-1937
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
090785-1
NY
Other
Enumeration date
12/23/2015
Last updated
12/23/2015
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