MISS Tashi Self, LCSW

NPI #1144711292 in Bay Shore, New York

Provider Information

NPI Number: 1144711292
Entity Type: Individual
Name: MISS Tashi Self, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: May 24, 2018
Last Updated: Jul 23, 2024

Practice Location

Address: 1444 5TH AVE
City: Bay Shore
State: New York
ZIP Code: 11706-4147
Phone: (631) 647-2048

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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