Individual
JOHN MICHAEL MCGOVERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
412 E 147TH ST, BRONX, NY 10455-4158
(718) 838-4816
Mailing address
1711 LURTING AVE, BRONX, NY 10461-1404
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
06/12/2020
Last updated
06/12/2020
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