Individual
BEKA KAVTARADZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
667 OCEAN AVE APT 5F, BROOKLYN, NY 11226-4914
(845) 536-6430
Mailing address
667 OCEAN AVE APT 5F, BROOKLYN, NY 11226-4914
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
123952-01
NY
Other
Enumeration date
12/23/2024
Last updated
12/23/2024
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