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1497981245
VIVIAN PORT
NEW YORK, NY
NPI
1497981245
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY R010148-1)
Enumeration Date
2009-06-08
Last Update Date
2009-06-08
Business Address
Mrs. VIVIAN PORT LCSW
903 PARK AVENUE 11B
NEW YORK, NY 10021-0360
Phone number: 212-744-8379
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Mailing Address
Mrs. VIVIAN PORT LCSW
903 PARK AVENUE 11B
NEW YORK, NY 10075-0360
Phone number: 212-744-8379
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