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Individual

AYA DZEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
4 ARBOR LN, MERRICK, NY 11566-4302
(516) 512-1258
Mailing address
4 ARBOR LN, MERRICK, NY 11566-4302
(516) 512-1258

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0911401
NY

Other

Enumeration date
12/15/2014
Last updated
12/15/2014
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