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Organization
MARIEL CHLOE PRACTICE LLC
Active
Organization
MARIEL CHLOE PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIEL CHLOE MANGOLD LCSW (OWNER)
(917) 553-1870
Entity
Organization
Contact information
Practice address
330 E 79TH ST, NEW YORK, NY 10075-0966
(917) 553-1870
Mailing address
330 E 79TH ST, NEW YORK, NY 10075-0966
(917) 553-1870
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
73083458
NY
Other
Enumeration date
10/15/2015
Last updated
10/15/2015
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