Individual
ALYSSA BENI-SHORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW LLC
Contact information
Practice address
300 KNICKERBOCKER RD, CRESSKILL, NJ 07626-1350
(646) 300-2851
Mailing address
161 PHELPS AVE, CRESSKILL, NJ 07626-2423
(646) 300-2851
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
083974
NY
Other
Enumeration date
09/12/2019
Last updated
02/25/2020
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