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6 Gramatan Ave Ste 607 Mount Vernon NY 10550-3208 | |
| (914) 837-8336 | |
| (914) 560-2135 |
| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6 Gramatan Ave Ste 607, Mount Vernon, New York |
| Authorized Official Name and Position | Diaon M Clarke (OWNER) |
| Authorized Official Contact | 9148378336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3b Rosman Rd Thiells NY 10984-1627 Ph: (914) 837-8336 | 6 Gramatan Ave Ste 607 Mount Vernon NY 10550-3208 Ph: (914) 837-8336 |
| NPI Number | 1063015873 |
|---|---|
| Provider Enumeration Date | 11/16/2020 |
| Last Update Date | 01/24/2025 |
| Certification Date | 01/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063015873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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