Individual
MISS ANNE-KARINE DERAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(212) 562-3448
(212) 562-3435
Mailing address
462 1ST AVE, NEW YORK, NY 10016-9196
(973) 736-3461
(212) 562-3435
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
RO34574-1
NY
Other
Enumeration date
05/02/2012
Last updated
05/02/2012
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