RAYDALE BLAYLOCK

NEW YORK, NY
NPI1184223950
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  086857)
Enumeration Date2020-10-22
Last Update Date2020-10-22
Business Address
RAYDALE BLAYLOCK LCSW
116 W 23RD ST FL 5
NEW YORK, NY 10011-2599
Phone number: 212-729-6034
Mailing Address
RAYDALE BLAYLOCK LCSW
116 W 23RD ST FL 5
NEW YORK, NY 10011-2599
Phone number: 212-729-6034
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