Individual
CHENILLE RAFFERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
119 SCHENECTADY AVE, BROOKLYN, NY 11213-2330
(347) 915-1112
Mailing address
267 E 188TH ST APT 53, BRONX, NY 10458-5356
(646) 418-5796
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
108806-01
NY
Other
Enumeration date
06/25/2020
Last updated
09/17/2020
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