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NPI Code Detail

MEDICARE: CELIA KIM ALLOUCHE LCSW

MEDICARE:   CELIA KIM ALLOUCHE  LCSW
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
11041C0700XClinical Social Worker071814NY

General Provider Information

NPI Number : 1275776247
Entity Type Code : Individual
Provider Name (Legal Business Name) : CELIA KIM ALLOUCHE LCSW
Provider Business Mailing Address
First Line : 3385 BEDFORD AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-4548
Country : US
Telephone Number : 646-275-0425
Fax Number : 212-966-4295
Provider Business Practice Location Address
First Line : 3385 BEDFORD AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-4548
Country : US
Telephone Number : 646-275-0425
Fax Number : 212-966-4295
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2009
Last Update Date : 04/07/2009

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Directions to “ CELIA KIM ALLOUCHE LCSW” Practice Location

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