Individual
MRS. ANGELA MENDIVIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
358 SAINT MARKS PL, STATEN ISLAND, NY 10301-2417
(718) 727-3303
Mailing address
57 1/2 SOUTH AVE, STATEN ISLAND, NY 10303-1630
(347) 575-7463
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
093232
NY
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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