Individual
AUDREY M GEORGE-OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
18715 ILION AVE, SAINT ALBANS, NY 11412-1939
(646) 589-3100
Mailing address
18715 ILION AVE, SAINT ALBANS, NY 11412-1939
(646) 589-3100
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
NY
104100000X
Social Worker
Primary
700
CT
104100000X
Social Worker
NJDCATEMP-035233
NJ
Other
Enumeration date
10/28/2022
Last updated
12/07/2022
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