Individual
BRENDA JOY BAULKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-R
Contact information
Practice address
220 WEST 148TH STREET, #3N, NEW YORK, NY 10039
(212) 865-9714
Mailing address
220 WEST 148TH STREET, #3N, NEW YORK, NY 10039
(212) 865-9714
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5513230
NY
Other
Enumeration date
05/27/2007
Last updated
08/05/2011
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