Individual
CLAVEDIA CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
360 MAMARONECK AVE, WHITE PLAINS, NY 10605-1700
(914) 345-5900
Mailing address
580 WHITE PLAINS RD STE 510, TARRYTOWN, NY 10591-5152
(917) 405-9549
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
123395-01
NY
Other
Enumeration date
06/17/2015
Last updated
10/06/2023
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