| Kjg Lcsw, Pc | |
|
1844 E 12th St Brooklyn NY 11229-2702 | |
| (917) 618-2379 | |
| Not Available |
| Full Name | Kjg Lcsw, Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1844 E 12th St, Brooklyn, New York |
| Authorized Official Name and Position | Michelle Yetta Cordero (PRESIDENT) |
| Authorized Official Contact | 9176182379 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kjg Lcsw, Pc 1844 E 12th St Brooklyn NY 11229-2702 Ph: (917) 618-2379 | Kjg Lcsw, Pc 1844 E 12th St Brooklyn NY 11229-2702 Ph: (917) 618-2379 |
| NPI Number | 1184115388 |
|---|---|
| Provider Enumeration Date | 05/23/2018 |
| Last Update Date | 05/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184115388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 73079357 (New York) | Primary |
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