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Individual

MR. ANGEL LUIS BOSQUES JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
464 GORGE RD, APT 7D, CLIFFSIDE PARK, NJ 07010-2815
(646) 645-0073
Mailing address
464 GORGE RD, APT 7D, CLIFFSIDE PARK, NJ 07010-2815
(646) 645-0073

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
093963
NY

Other

Enumeration date
09/30/2015
Last updated
09/30/2015
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