Individual
ANNLADY JORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1841 PARK AVE, NEW YORK, NY 10035-1316
(929) 288-4320
Mailing address
1841 PARK AVE, NEW YORK, NY 10035-1316
(929) 288-4320
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/02/2020
Last updated
10/02/2020
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