Individual
ANGELICA MARIE VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
U
Credential
LMSW
Contact information
Practice address
1110 SOUTH AVE STE 404, STATEN ISLAND, NY 10314-3411
(800) 277-4680
Mailing address
109 PURCELL ST, STATEN ISLAND, NY 10310-2730
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
125849
NY
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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