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NPI Code Detail

MEDICARE: MS. JESSIE KETURAH STRAND LMSW

MEDICARE:  MS. JESSIE KETURAH STRAND  LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker082021-1NY

General Provider Information

NPI Number : 1104136761
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JESSIE KETURAH STRAND LMSW
Provider Business Mailing Address
First Line : 8415 4TH AVE APT E1
Second Line :
City : BROOKLYN
State : NY
Zip : 11209-4626
Country : US
Telephone Number : 917-846-0225
Fax Number :
Provider Business Practice Location Address
First Line : 2233 NOSTRAND AVE
Second Line : 3RD FLOOR
City : BROOKLYN
State : NY
Zip : 11210-3029
Country : US
Telephone Number : 718-258-1714
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2010
Last Update Date : 10/18/2010

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Directions to “ MS. JESSIE KETURAH STRAND LMSW” Practice Location

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