NELLIE E. LICIAGA

BRONX, NY
NPI1437326253
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  093308)
Enumeration Date2008-05-12
Last Update Date2026-01-29
Business Address
NELLIE E. LICIAGA LCSW, M-CASAC
520 E 142ND ST APT 4A
BRONX, NY 10454-2156
Phone number: 347-256-8205
Mailing Address
NELLIE E. LICIAGA LCSW, M-CASAC
520 E 142ND ST APT 4A
BRONX, NY 10454-2156
Phone number: 347-256-8205