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Individual
PRINCESSA GERVAIS-AINE
Active
Individual
PRINCESSA GERVAIS-AINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
0996571
NY
1041C0700X
Clinical Social Worker
Primary
0996571
NY
1041S0200X
School Social Worker
0996571
NY
Other
Enumeration date
05/01/2018
Last updated
07/31/2024
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