NICKOSHA ALISA WAYNE

BRONX, NY
NPI1093526345
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  118461)
Enumeration Date2025-01-16
Last Update Date2025-01-23
Business Address
NICKOSHA ALISA WAYNE LMSW
4223 SETON AVE
BRONX, NY 10466-2119
Phone number: 347-638-1002
Mailing Address
NICKOSHA ALISA WAYNE LMSW
4223 SETON AVE
BRONX, NY 10466-2119
Phone number: 347-638-1002
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