Individual
CONSTANZA KIESEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3 W 29TH ST FL 5, NEW YORK, NY 10001-4560
(212) 725-7850
Mailing address
3 W 29TH ST FL 5, NEW YORK, NY 10001-4560
(212) 725-7850
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
P84035
NY
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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