AVERILLE BC MALCOLM

BAYSIDE, NY
NPI1447929724
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: NY  113628)
Enumeration Date2021-09-09
Last Update Date2021-09-09
Business Address
AVERILLE BC MALCOLM
6130 217TH ST
BAYSIDE, NY 11364-2234
Phone number: 917-362-7309
Mailing Address
AVERILLE BC MALCOLM
6130 217TH ST
BAYSIDE, NY 11364-2234
Phone number: 917-362-7309
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