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1699846279
IRIS VIDAL
BRONX, NY
NPI
1699846279
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 072798-1)
Enumeration Date
2006-11-13
Last Update Date
2007-07-08
Business Address
-- IRIS VIDAL LMSW
2527 GLEBE AVE
BRONX, NY 10461-3109
Phone number: 718-904-4408
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Mailing Address
-- IRIS VIDAL LMSW
2527 GLEBE AVE
BRONX, NY 10461-3109
Phone number: 718-904-4408
Copy
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