Individual
BRENDA ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
11835 QUEENS BLVD, FOREST HILLS, NY 11375-7200
(718) 651-7770
Mailing address
962 E 180TH ST APT 3, BRONX, NY 10460-2230
(347) 822-1889
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
122459
NY
Other
Enumeration date
01/12/2023
Last updated
01/02/2024
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