Individual
AKILIA JACKSON SEMOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50 W HAWTHORNE AVE, VALLEY STREAM, NY 11580-6223
(646) 904-0671
Mailing address
13105 229TH ST, LAURELTON, NY 11413-1840
(646) 904-0671
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
124094
NY
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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