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1215025887
AWILDA BRAVO
FOREST HILLS, NY
NPI
1215025887
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: NY R057682-1)
Enumeration Date
2006-10-10
Last Update Date
2007-07-08
Business Address
MS. AWILDA BRAVO L..C.S.W.
102-45-67TH ROAD
FOREST HILLS, NY 11375
Phone number: 800-609-4217
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Mailing Address
MS. AWILDA BRAVO L..C.S.W.
10245 67TH RD APT 1T
FOREST HILLS, NY 11375-2628
Phone number: 800-609-4217
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