Individual
MRS. DULCE MIRIAM JORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. ED
Contact information
Practice address
812 E 179TH ST, BRONX, NY 10460-1304
(347) 862-6605
(347) 862-6605
Mailing address
812 E 179TH ST, BRONX, NY 10460-1304
(347) 862-6605
(347) 862-6605
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
864062
NY
Other
Enumeration date
08/19/2011
Last updated
08/19/2011
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