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Organization
INTEGRATIVE CARE GROUP LCSW PLLC
Active
Organization
INTEGRATIVE CARE GROUP LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CESAR VANEGAS LCSW (CHIEF EXECUTIVE OFFICER)
(917) 725-0621
Entity
Organization
Contact information
Practice address
5914 70TH AVE, RIDGEWOOD, NY 11385-5654
(917) 725-0621
Mailing address
5914 70TH AVE, RIDGEWOOD, NY 11385-5654
(917) 725-0621
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/08/2022
Last updated
03/21/2022
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