Individual
EDNA MEJIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
47 HUMPHREY DR, SYOSSET, NY 11791-4022
(516) 921-7171
Mailing address
47 HUMPHREY DR, SYOSSET, NY 11791-4022
(516) 921-7171
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
092066
NY
Other
Enumeration date
07/08/2015
Last updated
05/16/2016
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