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ASTRA TITUS MSW, JD
Clinical >> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1366104556
Individual Registrant: ASTRA TITUS MSW, JD
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
4893 NICHOLS RD BURDETT, NY 14818 US
Tel: 607-215-5422 Fax: --
Tel: 607-215-5422 Fax: --
Contact information for business:
PO BOX 50 HECTOR, NY 14841-0050 US
Tel: 607-215-5422 Fax: --
Tel: 607-215-5422 Fax: --
Registration Information:
NPI: 1366104556
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1041C0700X | Behavioral Health & Social Service Providers Social Worker Clinical |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
