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Organization
POWHERFUL AND BRILLIANT BEYOND MEASURE LLC
Active
Organization
POWHERFUL AND BRILLIANT BEYOND MEASURE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERICA M PONTEEN, PHD, LCSW PHD, LCSW (CLINICAL SOCIAL WORKER)
(929) 563-8800
Entity
Organization
Contact information
Practice address
3425 KNOX PLACE, STE 1K, BRONX, NY 10467
(929) 563-8800
Mailing address
3425 KNOX PLACE, STE 1K, BRONX, NY 10467
(929) 563-8800
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
171000000X
Military Health Care Provider
Primary
—
NULL
171000000X
Military Health Care Provider
Primary
—
—
1744R1102X
Research Study Specialist
—
NULL
1744R1102X
Research Study Specialist
—
—
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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