Individual
AD KAVALIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1618 JEFFERSON AVE APT 2E, RIDGEWOOD, NY 11385-4709
(908) 577-7685
Mailing address
850 7TH AVE STE 1106, NEW YORK, NY 10019-0029
(908) 577-7685
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
120152
NY
Other
Enumeration date
02/21/2023
Last updated
11/02/2023
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