Individual
ADA MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
129A OREGON RD, CORTLANDT MANOR, NY 10567-1249
(914) 788-4058
Mailing address
129A OREGON RD, CORTLANDT MANOR, NY 10567-1249
(914) 788-4058
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
078549
NY
Other
Enumeration date
10/10/2018
Last updated
10/10/2018
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