Individual
MRS. AGUSTINA HORTEL-RIOS LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
74 WEST ST, DANBURY, CT 06810-6531
(203) 470-9070
Mailing address
29 BRENTWOOD RD, CARMEL, NY 10512-6666
(914) 625-2641
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
094542-1
NY
Other
Enumeration date
12/22/2017
Last updated
12/22/2017
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