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Individual

MS. ANNE HERRICK

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
CSW

Contact information

Practice address
9201 4TH AVE, BROOKLYN, NY 11209-7006
(718) 748-1234
(718) 748-0353
Mailing address
9201 4TH AVE, BROOKLYN, NY 11209-7006
(718) 748-1234
(718) 748-0353

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4971977
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4971977
STATE LICENSE
NY
Enumeration date
06/12/2006
Last updated
07/08/2007
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