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Organization
INNER POWER LCSW PC
Active
Organization
INNER POWER LCSW PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IRINA MAVASHEVA LCSW (PRESIDENT)
(646) 725-8545
Entity
Organization
Contact information
Practice address
7009 AUSTIN ST, SUITE 203, FOREST HILLS, NY 11375-4799
(646) 725-8545
Mailing address
7009 AUSTIN ST, SUITE 203, FOREST HILLS, NY 11375-4799
(646) 725-8545
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
082458-1
NY
Other
Enumeration date
12/19/2014
Last updated
07/16/2015
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