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1922680974
INDIANA MEDINA
NEW YORK, NY
NPI
1922680974
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: NY 112482-01)
Enumeration Date
2021-04-28
Last Update Date
2021-04-28
Business Address
INDIANA MEDINA LMSW
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029-6574
Phone number: 917-885-6143
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Mailing Address
INDIANA MEDINA LMSW
1 GUSTAVE L. LEVY PL
NEW YORK, NY 10029
Phone number: 917-885-6143
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