Individual
AVIGAYIL ADOUTH ADOUTH SREDNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
10470 QUEENS BLVD, FOREST HILLS, NY 11375-3638
(718) 275-6010
Mailing address
14445 71ST RD, FLUSHING, NY 11367-2001
(786) 780-3324
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
112810
NY
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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