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1497714943
MIGUEL ANGEL MEDINA
BRONX, NY
NPI
1497714943
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY R064077)
Enumeration Date
2006-03-22
Last Update Date
2010-08-19
Business Address
-- MIGUEL ANGEL MEDINA LCSW
85 W BURNSIDE AVE
BRONX, NY 10453-4015
Phone number: 718-483-1270
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Mailing Address
-- MIGUEL ANGEL MEDINA LCSW
85 W BURNSIDE AVE
BRONX, NY 10453-4015
Phone number: 718-483-1270
Copy
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