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Individual

AILEEN VEGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1861 ANTHONY AVE, BRONX, NY 10457-5903
(718) 901-2849
(718) 583-6453
Mailing address
1363 INTERVALE AVE, BRONX, NY 10459-1538
(718) 991-0728

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
075467-1
NY

Other

Enumeration date
06/28/2007
Last updated
07/08/2007
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