Individual
ANDREA CANDIS BANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
463 7TH AVE, NEW YORK, NY 10018-7448
(646) 483-6409
(212) 979-8894
Mailing address
1616 GRAND AVE FRNT DESK, BRONX, NY 10453-7778
(718) 583-9824
(212) 979-8894
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
118790
NY
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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