MRS. Angelica J Licciardi, LMSW

NPI #1225767361 in Medford, New York

Provider Information

NPI Number: 1225767361
Entity Type: Individual
Name: MRS. Angelica J Licciardi, LMSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Jun 6, 2022
Last Updated: Jun 6, 2022

Practice Location

Address: 3253 ROUTE 112
City: Medford
State: New York
ZIP Code: 11763-1411
Phone: (631) 730-3737

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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