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Individual
PAULA GAVIOTA TIRADO-MANSILLA
Active
Individual
PAULA GAVIOTA TIRADO-MANSILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
113307
NY
1041C0700X
Clinical Social Worker
Primary
100896
NY
Other
Enumeration date
08/03/2021
Last updated
07/27/2026
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