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1952842759
AVIVA WAGNER
BROOKLYN, NY
NPI
1952842759
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 099680)
Enumeration Date
2017-03-13
Last Update Date
2017-03-13
Business Address
-- AVIVA WAGNER
1273 53RD ST
BROOKLYN, NY 11219-3865
Phone number: 718-435-5700
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Mailing Address
-- AVIVA WAGNER
1273 53RD ST
BROOKLYN, NY 11219-3865
Phone number: 718-435-5700
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