Individual
CHESKA MARIEL MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
7901 BROADWAY, ELMHURST, NY 11373-1329
(718) 334-1502
Mailing address
6243 83RD PL, MIDDLE VILLAGE, NY 11379-1943
(646) 520-6512
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
106980
NY
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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