Individual
BESSIDA A OUEDRAOGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
555 TAXTER RD, ELMSFORD, NY 10523-2336
(914) 418-6297
Mailing address
1060 SHERIDAN AVE APT 5C, BRONX, NY 10456-5742
(347) 213-4213
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
123931
NY
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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