Individual
CARLOS DEMETRIO BRAVO GOGNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, MSW
Contact information
Practice address
3265 JOHNSON AVE STE 214, BRONX, NY 10463-3539
(917) 517-5010
(718) 548-0979
Mailing address
3265 JOHNSON AVE STE 214, BRONX, NY 10463-3539
(917) 517-5010
(718) 548-0979
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
076184
NY
Other
Enumeration date
10/05/2006
Last updated
04/03/2024
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