Organization
MINETTE LCSW PSYCHOTHERAPY SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY TAVERAS-GARCIA LCSW (LICENSE CLINICAL SOCIAL WORKER)
(201) 724-5489
Entity
Organization
Contact information
Practice address
2960 GRAND CONCOURSE APT 3C, BRONX, NY 10458-1905
(201) 724-5489
Mailing address
140 W 52ND ST, BAYONNE, NJ 07002-3120
(201) 724-5489
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/07/2021
Last updated
01/07/2021
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