Individual
BRACHA BARD-WIGDOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
72 EASTBOURNE DR, SPRING VALLEY, NY 10977-6403
(718) 360-6273
Mailing address
587 RIVERSIDE DR, HILLSIDE, NJ 07205-3117
(718) 360-6273
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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