Individual
ANTONIETA N GUENTHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
121 DEKALB AVE, BROOKLYN, NY 11201-5425
(718) 250-8621
Mailing address
2048 33RD ST, ASTORIA, NY 11105-2027
(718) 250-8621
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R0572581
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R0572581
LICENSE
NY
Enumeration date
12/01/2006
Last updated
07/24/2008
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