Individual
MS. BRENDA LEE ROMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4462 PARK AVE, BRONX, NY 10457-2438
(718) 419-2612
Mailing address
4462 PARK AVE, BRONX, NY 10457-2438
(718) 419-2612
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
129374
NY
Other
Enumeration date
10/27/2025
Last updated
10/27/2025
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