Individual
DIANA YAGUDAYEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1833 E 12TH ST, BROOKLYN, NY 11229-2762
(347) 515-9104
Mailing address
1833 E 12TH ST, BROOKLYN, NY 11229-2762
(347) 515-9104
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/28/2013
Last updated
09/16/2013
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