Individual
CYNTHIA MARIE REBECCA GRADILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
520 WEST 135TH ST, NEW YORK, NY 10031
(347) 680-8908
Mailing address
7173 WINDERMERE WAY, FONTANA, CA 92336-0893
(909) 697-7714
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
126092
NY
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/31/2020
Last updated
04/23/2026
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