Individual
MS. ALISON SERVIDIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
600 E 125TH ST, NEW YORK, NY 10035-6000
(646) 672-5860
Mailing address
2997 MALCOLM CT, OCEANSIDE, NY 11572-1131
(917) 689-9473
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
076260
NY
1041C0700X
Clinical Social Worker
Primary
29093
CA
Other
Enumeration date
12/10/2012
Last updated
12/10/2012
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