Individual
MR. JOHNNY CABAN VALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.W.
Contact information
Practice address
4123 3RD AVE, BRONX, NY 10457-6222
(718) 299-3045
Mailing address
4123 3RD AVE, BRONX, NY 10457-6222
(212) 924-6320
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
02/06/2007
Last updated
03/06/2019
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