Individual
AWILDA COLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
579 COURTLANDT AVE, BRONX, NY 10451-5013
(718) 485-2100
Mailing address
3300 PALMER AVE APT 418, BRONX, NY 10475-1564
(347) 495-6995
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
081679-1
NY
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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