Individual
ALICIA MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 E 117TH ST APT 2B, NEW YORK, NY 10035-4403
(917) 535-7439
Mailing address
500 E 117TH ST # 2B, NEW YORK, NY 10035-4403
(917) 535-7439
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
119510
NY
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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