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Individual

MRS. DIANA MARIA AZEVEDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A,M.S.

Contact information

Practice address
7740 VLEIGH PL, FLUSHING, NY 11367-3360
(718) 591-9093
Mailing address
7 DOUGLAS MOWBRAY RD, CORTLANDT MANOR, NY 10567-4303
(914) 960-1690

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
NY

Other

Enumeration date
07/22/2010
Last updated
07/22/2010
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