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Individual

MS. AMIE KEYS BLOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
145 HUDSON ST, SUITE 6B, NEW YORK, NY 10013-2103
(646) 638-1701
(646) 638-1703
Mailing address
145 HUDSON ST, SUITE 6B, NEW YORK, NY 10013-2103
(646) 638-1701
(646) 638-1703

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R0544321
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
319110
MHN
NY
01
P2574757
OXFORD
NY
Enumeration date
05/07/2007
Last updated
07/08/2007
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