Individual
MRS. AGATA G WOLDAN-LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1 GUSTAVE L LEVY PL FL 12, NEW YORK, NY 10029-6574
(212) 420-2358
Mailing address
5230 39TH DR APT 11A, WOODSIDE, NY 11377-4021
(646) 623-3242
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
072193
NY
Other
Enumeration date
12/03/2019
Last updated
12/03/2019
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