Individual
MR. ALEX MOVAHED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
411 W 114TH ST, NEW YORK, NY 10025-1710
(212) 523-4124
Mailing address
411 W 114TH ST, NEW YORK, NY 10025-1710
(212) 523-4124
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
080184
NY
Other
Enumeration date
11/07/2014
Last updated
11/07/2014
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