CARLOS VICUNA

JAMAICA, NY
NPI1972640431
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  R058701)
Enumeration Date2007-01-31
Last Update Date2007-07-08
Business Address
Mr. CARLOS VICUNA LCSW
8956 162ND ST
JAMAICA, NY 11432-5072
Phone number: 718-657-7100
Mailing Address
Mr. CARLOS VICUNA LCSW
3920 GREENPOINT AVE APT. 7V
SUNNYSIDE, NY 11104-4532
Phone number: 718-937-5852