Individual
VIVIAN VALLEJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
100 MELROSE AVE STE 103, GREENWICH, CT 06830-6277
(203) 970-4738
Mailing address
191 GRACE CHURCH ST # 1R, PORT CHESTER, NY 10573-5120
(914) 319-8030
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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