TIZELLE MIKKA VIRAY RODRIGO

FLUSHING, NY
NPI1518789965
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: NY  121398-01)
Enumeration Date2024-10-28
Last Update Date2024-10-28
Business Address
Miss TIZELLE MIKKA VIRAY RODRIGO LMSW
15039 79TH AVE
FLUSHING, NY 11367-3929
Phone number: 646-338-6977
Mailing Address
Miss TIZELLE MIKKA VIRAY RODRIGO LMSW
15039 79TH AVE
FLUSHING, NY 11367-3929
Phone number: 646-338-6977
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