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1073162145
MARY ELIZABETH MEDINA
BRONX, NY
NPI
1073162145
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY R032084)
Enumeration Date
2019-09-10
Last Update Date
2019-09-10
Business Address
MARY ELIZABETH MEDINA LCSW
1136 CASTLE HILL AVE
BRONX, NY 10462-4801
Phone number: 718-239-0395
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Mailing Address
MARY ELIZABETH MEDINA LCSW
306 E 96TH ST APT 1A
NEW YORK, NY 10128-3847
Phone number: 646-331-9025
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