Individual
MRS. BRENDA HANTMAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
15067 87TH AVE, JAMAICA, NY 11432-3309
(718) 523-7789
(718) 523-7789
Mailing address
15067 87TH AVE, JAMAICA, NY 11432-3309
(718) 523-7789
(718) 523-7789
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PR024929 1
NY
Other
Enumeration date
11/16/2005
Last updated
07/08/2007
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