Individual
MRS. CHICQUITA LAQUANDA MCCOVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
460 W 34TH ST, 11TH FLOOR, NEW YORK, NY 10001-2320
(212) 273-6100
Mailing address
195 TRANTOR PL APT 1B, STATEN ISLAND, NY 10302-1926
(718) 541-2046
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
096394-1
NY
Other
Enumeration date
11/13/2015
Last updated
11/13/2015
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