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Organization
JEWISH BOARD OF FAMILY &CHILDREN'S SERVICES
Active
Organization
JEWISH BOARD OF FAMILY &CHILDREN'S SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IRINA - PROFIS LCSW-R (PROGRAM SUPERVISOR)
(718) 372-3300
Entity
Organization
Contact information
Practice address
3312 SURF AVE, BROOKLYN, NY 11224-1406
(718) 372-3300
(718) 996-8758
Mailing address
3312 SURF AVE, BROOKLYN, NY 11224-1406
(718) 372-3300
(718) 996-8758
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
057385
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00057385
—
NY
Enumeration date
08/22/2006
Last updated
08/22/2020
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