VILMA E, MATOS

EAST NORTHPORT, NY
NPI1265896831
Former NameVILMA MERCADO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: NY  R026711-1)
Additional Taxonomies1041S0200X Social Worker School
(Licence: NY  946435991)
Enumeration Date2016-04-11
Last Update Date2016-04-11
Business Address
MS. VILMA E, MATOS LCSW-R
39 GEORGIA ST
EAST NORTHPORT, NY 11731-2232
Phone number: 631-807-2822
Mailing Address
MS. VILMA E, MATOS LCSW-R
39 GEORGIA ST
EAST NORTHPORT, NY 11731-2232
Phone number: 631-807-2822