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1104194976
JOHANNA CRESWELL BAEZ
NEW YORK, NY
NPI
1104194976
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 079144-1)
Enumeration Date
2011-12-08
Last Update Date
2011-12-08
Business Address
Mrs. JOHANNA CRESWELL BAEZ LCSW
370 CONVENT AVE APT 1A
NEW YORK, NY 10031-4224
Phone number: 646-481-0185
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Mailing Address
Mrs. JOHANNA CRESWELL BAEZ LCSW
370 CONVENT AVE APT 1A
NEW YORK, NY 10031
Phone number: 646-481-0185
Copy
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