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Individual

MRS. VLADA TARTSAKOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSWB

Contact information

Practice address
7813 153RD AVE STE 1, HOWARD BEACH, NY 11414-1771
(718) 374-3917
Mailing address
236 NEPTUNE AVE, BROOKLYN, NY 11235-6302
(212) 219-5400

Taxonomy

Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
682891121
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08EI124711R1X00
CITY PRO GROUP INC
NY
Enumeration date
11/05/2012
Last updated
11/05/2012
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