Individual
CAROL TAVAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1309 FOSTER AVE, BROOKLYN, NY 11230-1511
(212) 383-0010
Mailing address
614 LAFAYETTE AVE APT 2, BROOKLYN, NY 11216-1020
(646) 684-1593
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
105357-1
NY
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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