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1558432252
DHARA ISA MODDEL
ELMHURST, NY
NPI
1558432252
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: NY 071803)
Enumeration Date
2006-11-13
Last Update Date
2007-07-08
Business Address
-- DHARA ISA MODDEL LMSW
80TH ST & 41ST AVE
ELMHURST, NY 11373-1329
Phone number: 718-334-3900
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Mailing Address
-- DHARA ISA MODDEL LMSW
7901 BROADWAY MANAGED CARE, D1-01
ELMHURST, NY 11373-1329
Phone number: 718-334-1921
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