Individual
BESSY MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4678
Mailing address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4678
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0097112
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2016
Last updated
06/17/2019
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