Individual
CELIA REBECA SEVILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
91 GUY LOMBARDO AVE, FREEPORT, NY 11520-3731
(516) 868-3030
(516) 868-7733
Mailing address
7512 35TH AVE APT 2C, JACKSON HEIGHTS, NY 11372-8140
(347) 772-6652
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
112463
NY
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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