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Individual

CARA B HANOVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
242 E 72ND ST # 1A, NEW YORK, NY 10021
(201) 350-7296
Mailing address
242 E 72ND ST STE 1A, NEW YORK, NY 10021-4574
(201) 350-7296

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
090936
NY
1041C0700X
Clinical Social Worker
Primary
085013
NY

Other

Enumeration date
11/07/2016
Last updated
04/16/2020
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