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Individual

AZUCENY JUAREZ GOMEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
9036 155TH ST FL 1, JAMAICA, NY 11432-3827
(347) 279-9613
Mailing address
9036 155TH ST FL 1, JAMAICA, NY 11432-3827
(347) 279-9613

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
125133
NY
104100000X
Social Worker

Other

Enumeration date
03/16/2023
Last updated
06/27/2025
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