Individual
MISS AVALON HILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3622 FARRAGUT RD, APT 1, BROOKLYN, NY 11210-1933
(347) 938-8090
Mailing address
3622 FARRAGUT RD, APT 1, BROOKLYN, NY 11210-1933
(347) 938-8090
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
72093666
NY
Other
Enumeration date
05/29/2015
Last updated
05/29/2015
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