Individual
BROCHA RAIZEL BRULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
42 MELNICK DR, MONSEY, NY 10952-3328
(845) 770-1949
Mailing address
1 AMANDA CT, AIRMONT, NY 10952-4138
(845) 362-1266
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
103210-1
NY
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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