Individual
AMY MOHEDANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
90 HENRY ST, INWOOD, NY 11096-2335
(718) 327-3401
Mailing address
1014 NEILSON ST, APT. 5B, FAR ROCKAWAY, NY 11691-5049
(646) 781-8072
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
084172-1
NY
Other
Enumeration date
04/10/2012
Last updated
06/29/2012
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