LARISSA ELLEN GOLLOUB

BROOKLYN, NY
NPI1942352034
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  R050308-1)
Enumeration Date2007-01-17
Last Update Date2007-07-08
Business Address
Ms. LARISSA ELLEN GOLLOUB LCSW-R
2581 ATLANTIC AVE 2ND FLOOR
BROOKLYN, NY 11207-2412
Phone number: 718-890-8100
Mailing Address
Ms. LARISSA ELLEN GOLLOUB LCSW-R
11115 75TH AVE APT. 5M
FOREST HILLS, NY 11375-6327
Phone number: 718-890-8100