Individual
ANDREA YERIAZARIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-R
Contact information
Practice address
80 CENTRE ST, NEW YORK, NY 10013-4306
(347) 480-8336
Mailing address
80 CENTRE ST, NEW YORK, NY 10013-4306
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
078123
NY
Other
Enumeration date
11/02/2013
Last updated
08/26/2016
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