Individual
MARIE J CONCEPCION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
304 HOWE AVE, BRONX, NY 10473-1644
(646) 496-6565
Mailing address
304 HOWE AVE, BRONX, NY 10473-1644
(646) 496-6565
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1828540
NY
Other
Enumeration date
12/07/2011
Last updated
12/07/2011
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