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Organization
JOAN POELVOORDE LCSW PC
Active
Organization
JOAN POELVOORDE LCSW PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN POELVOORDE LCSW (SOCIAL WORKER)
(646) 473-0138
Entity
Organization
Contact information
Practice address
19 W 34TH ST, PENTHOUSE, NEW YORK, NY 10001-3006
(646) 473-0138
(646) 473-0138
Mailing address
PO BOX 265, KINGS PARK, NY 11754-0265
(646) 473-0138
(646) 473-0140
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PR019774
NY
Other
Enumeration date
11/05/2008
Last updated
04/04/2012
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