Individual
MRS. ADRIENNE MOGAVERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
23 EASTWOOD DR, MASSAPEQUA PARK, NY 11762-1410
(516) 589-0335
Mailing address
2174 HEWLETT AVE, SUITE 105, MERRICK, NY 11566-3606
(516) 546-2333
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
069249-1
NY
Other
Enumeration date
12/16/2008
Last updated
12/16/2008
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