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Organization
ILLUMINE COUNSELING LCSW PLLC
Active
Organization
ILLUMINE COUNSELING LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TASHI RIDLEY LCSW (PARTNER)
(212) 287-9357
Entity
Organization
Contact information
Practice address
131 7TH AVE # 356, NEW YORK, NY 10011-1802
(646) 470-1231
Mailing address
131 7TH AVE # 356, NEW YORK, NY 10011-1802
(646) 470-1231
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/02/2023
Last updated
03/07/2023
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