Individual
AVERY RADCLYFFE KLOTSCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
226 PROSPECT PARK W # 186, BROOKLYN, NY 11215-5802
(929) 379-0220
Mailing address
226 PROSPECT PARK W # 186, BROOKLYN, NY 11215-5802
(929) 379-0220
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/12/2017
Last updated
05/12/2021
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