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Organization
MUSTARD SEED SURVIVOR EMPOWERMENT FOUNDATION
Active
Organization
MUSTARD SEED SURVIVOR EMPOWERMENT FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT JOHNSON J.D. (EXECUTIVE DIRECTOR)
(718) 875-7425
Entity
Organization
Contact information
Practice address
1118 BEDFORD AVE, BROOKLYN, NY 11216-1303
(718) 875-7425
Mailing address
2625 ATLANTIC AVE, BROOKLYN, NY 11207-2407
(718) 875-7411
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R055343
NY
Other
Enumeration date
06/29/2010
Last updated
04/02/2019
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