Individual
MRS. AVIVA B DUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LP-MHC
Contact information
Practice address
579 COURTLANDT AVE, BRONX, NY 10451-5013
(718) 485-2100
Mailing address
13830 77TH AVE APT B, FLUSHING, NY 11367-2853
(201) 546-0403
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/14/2021
Last updated
04/14/2021
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