Individual
ANNIE MUDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
341 E 79TH ST, NEW YORK, NY 10075-0992
(917) 714-4794
Mailing address
PO BOX 1349, NEW YORK, NY 10113-1349
(480) 365-8189
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
116989
NY
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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