Most Relevant Information
Provider Data
| NPI Number: | 1003455171 |
| Provider Name: | KARIZMA JAZMON FUNNYE LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 108413-01 |
Most Important Dates
| Enumeration Date: | 01/06/2020 |
| Last Updated: | 01/06/2020 |
Provider Practice Location
5 CLAYTON DR
SPRING VALLEY
NY
109773302
Practice Location Phone/Fax
| Phone: | 9294268104 |
| Fax: |
Provider Mailing Location
5 CLAYTON DR
SPRING VALLEY
NY
109773302
Provider Mailing Phone/Fax
| Phone: | 9294268104 |
| Fax: |