Individual
TABITHA AZOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
82 DWIGHT ST APT 5G, BROOKLYN, NY 11231-1772
(347) 863-0170
Mailing address
82 DWIGHT ST APT 5G, BROOKLYN, NY 11231-1772
(347) 863-0170
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001821
NY
Other
Enumeration date
09/06/2021
Last updated
09/15/2021
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