Individual
ANGELA PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
13626 37TH AVE, FLUSHING, NY 11354-6533
(718) 886-7373
(718) 661-6035
Mailing address
125 WALKER ST, NEW YORK, NY 10013-4135
(212) 226-8866
(212) 226-2289
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
098113
NY
Other
Enumeration date
03/04/2021
Last updated
08/08/2024
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