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Organization
CHILD CENTER OF NEW YORK
Active
Organization
CHILD CENTER OF NEW YORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACQUEL JONES LMSW (THERAPIST)
(718) 659-4000
Entity
Organization
Contact information
Practice address
11515 SUTPHIN BLVD, JAMAICA, NY 11434-1020
(718) 659-4000
Mailing address
115-15 SUTPHIN BLVD, JAMAICA, NY 11434
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00244371
—
NY
Enumeration date
08/22/2012
Last updated
09/10/2012
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