Individual
MS. ASHANDA TARRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
858 E 29TH ST, BROOKLYN, NY 11210-2927
(917) 756-5643
Mailing address
858 E 29TH ST, BROOKLYN, NY 11210-2927
(917) 756-5643
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
072103-1
NY
Other
Enumeration date
05/22/2015
Last updated
05/28/2015
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