Individual
JOHANNA P CAMPOS PACHECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
639 BOND CT, MERRICK, NY 11566-1240
(718) 710-1635
Mailing address
7948 69TH AVE, MIDDLE VILLAGE, NY 11379-2917
(718) 710-1635
(718) 710-1635
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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