Individual
MS. MARIA CARMEN PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1770 STILLWELL AVE, BRONX, NY 10469-6409
(171) 865-2979
(171) 854-7910
Mailing address
0-86 MIDLAND AVE, FAIR LAWN, NJ 07410-2911
(120) 279-7506
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
050147
NY
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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