Individual
MRS. BETTY DELOSSANTOS COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
312 HAYWARD AVE, MOUNT VERNON, NY 10552-1607
(646) 522-4241
Mailing address
312 HAYWARD AVE, MOUNT VERNON, NY 10552-1607
(646) 522-4241
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
073605
NY
Other
Enumeration date
07/09/2020
Last updated
07/09/2020
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