Individual
AUGUSTINA RUEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1 GATEWAY PLZ, 4TH FLOOR, PORT CHESTER, NY 10573-4674
(914) 305-6859
Mailing address
1 GATEWAY PLZ, 4TH FLOOR, PORT CHESTER, NY 10573-4674
(914) 305-6859
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
082468
NY
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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