Individual
BETHANIE MOOKRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1490 SOUTHERN BLVD, BRONX, NY 10460-6262
(718) 365-4044
Mailing address
1490 SOUTHERN BLVD, BRONX, NY 10460-6262
(718) 365-4044
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
121294
NY
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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