Individual
ANGELA JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6025 6TH AVE, BROOKLYN, NY 11220-4004
(347) 377-4093
Mailing address
6025 6TH AVE, BROOKLYN, NY 11220-4004
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
077711
NY
Other
Enumeration date
04/08/2015
Last updated
04/08/2015
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