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Individual

MR. HERBERT FREDERICK DAUGHTRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
2780 RESERVOIR AVE, BRONX, NY 10468-2702
(718) 329-8589
Mailing address
5210 BROADWAY APT 5L, BRONX, NY 10463-7617

Taxonomy

Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
NY

Other

Enumeration date
05/09/2022
Last updated
05/09/2022
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