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Organization
FANNY TRISTAN, LCSW, PLLC
Active
Organization
FANNY TRISTAN, LCSW, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FANNY TRISTAN (FOUNDER/CEO)
(347) 836-9705
Entity
Organization
Contact information
Practice address
1115 BROADWAY FL 12, NEW YORK, NY 10010-3452
(347) 836-9705
Mailing address
1115 BROADWAY FL 12, NEW YORK, NY 10010-3452
(347) 836-9705
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/26/2025
Last updated
02/26/2025
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