Individual
MRS. KIARRA LANETTA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 FLINTLOCK DR, SHIRLEY, NY 11967-2615
(631) 290-9751
Mailing address
22 FLINTLOCK DR, SHIRLEY, NY 11967-2615
(631) 290-9751
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/12/2023
Last updated
05/15/2023
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