Individual
AVERY GRACE MAUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
356 W 18TH ST, NEW YORK, NY 10011-4401
(212) 271-7200
(212) 271-7225
Mailing address
161 MAIN ST, NEW PALTZ, NY 12561-1116
(201) 220-1786
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
116065
NY
Other
Enumeration date
05/30/2023
Last updated
03/18/2025
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