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CARLOS GUSTAVO HABER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
4701 QUEENS BLVD STE 405, SUNNYSIDE, NY 11104-1623
(646) 641-9578
(347) 924-9807
Mailing address
4701 QUEENS BLVD STE 405, SUNNYSIDE, NY 11104-1623
(646) 641-9578
(347) 924-9807

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
P57834
NY
1041C0700X
Clinical Social Worker
Primary
078750
NY

Other

Enumeration date
10/22/2007
Last updated
11/05/2019
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