Individual
LIDIA GRACIELA DUARTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
918 127TH ST, COLLEGE POINT, NY 11356-1928
(917) 318-7545
Mailing address
918 127TH ST, COLLEGE POINT, NY 11356-1928
(917) 318-7545
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1179623
NY
Other
Enumeration date
07/02/2012
Last updated
07/02/2012
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