Individual
ALBA ARDILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
98120 QUEENS BLVD, APT 1C, REGO PARK, NY 11374
(718) 830-0246
(718) 830-9088
Mailing address
98120 QUEENS BLVD, APT 1C, REGO PARK, NY 11374
(718) 830-0246
(718) 830-9088
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0565241
NY
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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