Individual
MS. AWILDA BRAVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L..C.S.W.
Contact information
Practice address
102-45-67TH ROAD, FOREST HILLS, NY 11375
(800) 609-4217
(718) 729-2580
Mailing address
10245 67TH RD APT 1T, FOREST HILLS, NY 11375-2628
(800) 609-4217
(718) 729-2580
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R057682-1
NY
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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