Individual
AWILDA MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1674 MACOMBS RD, 5J, BRONX, NY 10453-7615
(347) 885-2240
Mailing address
1674 MACOMBS RD, 5J, BRONX, NY 10453-7615
(347) 885-2240
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
10/18/2016
Last updated
10/21/2016
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