Individual
MS. CANDACE MONISHA WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
750 ASTOR AVE, BRONX, NY 10467-9304
(718) 882-5000
Mailing address
750 ASTOR AVE, BRONX, NY 10467-9304
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
105134
NY
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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