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1104399104
EBONIQUA SMITH
BRONX, NY
NPI
1104399104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: NY 104601-1)
Enumeration Date
2019-01-02
Last Update Date
2019-01-02
Business Address
EBONIQUA SMITH LMSW
2751 KINGSBRIDGE TER FL 2
BRONX, NY 10463-7456
Phone number: 646-851-7658
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Mailing Address
EBONIQUA SMITH LMSW
2751 KINGSBRIDGE TER FL 2
BRONX, NY 10463-7456
Phone number: 646-851-7658
Copy
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