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Organization
HOPE, THE OTHER SIDE
Active
Organization
HOPE, THE OTHER SIDE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CRYSTAL MOTHERSILL (LICENSE CLINICAL SOCIAL WORKER)
(347) 674-7716
Entity
Organization
Contact information
Practice address
1500 ASTOR AVE FL 2, BRONX, NY 10469-5900
(347) 674-7716
Mailing address
1185 BRYANT AVE # 1, BRONX, NY 10459-2079
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/25/2024
Last updated
10/25/2024
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