Individual
BRAD LOGAN HORNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
175 E 94TH ST APT 1, NEW YORK, NY 10128-2905
(833) 775-6252
Mailing address
805 BROADWAY, BROOKLYN, NY 11206-5318
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
114108
NY
1041C0700X
Clinical Social Worker
Primary
099619
NY
Other
Enumeration date
09/24/2021
Last updated
03/19/2025
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