Individual
MS. ANGELES DAVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
60 CHARLES LINDBERGH BLVD, UNIONDALE, NY 11553-3653
(516) 227-8962
Mailing address
60 CHARLES LINDBERGH BLVD, UNIONDALE, NY 11553-3653
(516) 227-8962
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LSW04732-1-R
NY
171M00000X
Case Manager/Care Coordinator
Primary
04732-1-R
NY
174400000X
Specialist
LSW04732-1-R
NY
Other
Enumeration date
11/24/2008
Last updated
02/28/2017
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