Organization
MARA J. BRANDON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARA J BRANDON LCSW, CASAC (LICENSED CLINICAL SOCIAL WORKER)
(646) 632-5377
Entity
Organization
Contact information
Practice address
310 W END AVE APT 1-C, NEW YORK, NY 10023-8146
(646) 632-5377
Mailing address
310 W END AVE APT 1-C, NEW YORK, NY 10023-8146
(646) 632-5377
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
085699
NY
Other
Enumeration date
11/21/2017
Last updated
11/21/2017
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