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Individual

PAULA ANEXAGOROU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
7000 AUSTIN ST., FOREST HILLS, NY 11375-1022
(718) 762-7633
Mailing address
7000 AUSTIN ST., FOREST HILLS, NY 11375-1022
(718) 762-7633

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
086344
NY
252Y00000X
Early Intervention Provider Agency
Primary

Other

Enumeration date
01/19/2018
Last updated
03/29/2019
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