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1063659449
VIVIAN M MEDINA
NEW YORK, NY
NPI
1063659449
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY R056281)
Enumeration Date
2009-01-07
Last Update Date
2009-01-07
Business Address
Ms. VIVIAN M MEDINA LCSW
1 GUSTAVE LEVY PLACE
NEW YORK, NY 10029-6574
Phone number: 212-824-7287
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Mailing Address
Ms. VIVIAN M MEDINA LCSW
1 GUSTAVE LEVY PLACE BOX 1030
NEW YORK, NY 10029-6574
Phone number: 212-824-7287
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