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Organization
VISITING SOCIAL WORK OF NEW YORK LCSW P C
Active
Organization
VISITING SOCIAL WORK OF NEW YORK LCSW P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WANDA I MARQUEZ LCSW (PRESIDENT)
(646) 281-2592
Entity
Organization
Contact information
Practice address
177 NAGLE AVE APT 14B, NEW YORK, NY 10034-6024
(646) 281-2592
Mailing address
52 GLENWOOD DR N, BERGENFIELD, NJ 07621-3346
(646) 281-2592
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
075249-1
NY
1041C0700X
Clinical Social Worker
Primary
075249-1
NY
1041S0200X
School Social Worker
075249-1
NY
Other
Enumeration date
03/16/2010
Last updated
03/16/2010
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