Individual
AUDRA DENISE EKEINDE-JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
157 E 72ND ST, SUITE J, NEW YORK, NY 10021-4331
(646) 964-4363
Mailing address
157 E 72ND ST, SUITE J, NEW YORK, NY 10021-4331
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
18818
AZ
1041C0700X
Clinical Social Worker
Primary
083314
NY
Other
Enumeration date
04/20/2017
Last updated
12/13/2022
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