Individual
ANNE BEVERLY WALLACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1670 E 17TH ST # 78, BROOKLYN, NY 11229-1258
(718) 375-1200
Mailing address
1138 E 32ND ST, BROOKLYN, NY 11210-4735
(718) 859-0851
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
070809-1
NY
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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