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ASTRA TITUS MSW, JD

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1366104556

Individual Registrant:
 ASTRA  TITUS MSW, JD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
4893 NICHOLS RD  BURDETT, NY 14818 US
Tel: 607-215-5422  Fax: --

Contact information for business:
PO BOX 50  HECTOR, NY 14841-0050 US
Tel: 607-215-5422  Fax: --

Registration Information:
NPI: 1366104556
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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