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1275244196
NINO MAKHARADZE ORTIZ
REGO PARK, NY
NPI
1275244196
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2022-12-12
Last Update Date
2024-10-30
Business Address
NINO MAKHARADZE ORTIZ LCSW
98120 QUEENS BLVD STE 1C
REGO PARK, NY 11374
Phone number: 646-653-4343
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Mailing Address
NINO MAKHARADZE ORTIZ LCSW
2600 NETHERLAND AVE APT 2117
BRONX, NY 10463-1095
Phone number: 164-698-1749
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