Individual
MS. AVIVA WELDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
991 SIERRA VISTA LANE, VALLEY COTTAGE, NY 10989
(201) 410-2169
Mailing address
991 SIERRA VISTA LANE, VALLEY COTTAGE, NY 10989
(201) 410-2169
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
077488-1
NY
Other
Enumeration date
02/14/2020
Last updated
02/14/2020
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