Kathoucha Edouard LCSW

NPI 1124208715 - Social Worker - 1041C0700X

NPI Details
NPI 1124208715
Gender Female
Enumeration Date 11/12/2007
Last Updated 11/12/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
420 BEACH 51ST ST
FAR ROCKAWAY NY, 11691-1048, US
Phone (917) 757-5616
Fax
Business Location
3325 90TH ST
JACKSON HEIGHTS NY, 11372-1680, US
Phone (917) 757-5616
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State New York
License Number 069349
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According to our database, Miss Kathoucha Edouard LCSW NPI is 1124208715, taxonomy code is 1041C0700X and license number is 069349, license state is located at New York. Kathoucha Edouard LCSW physically located at 420 Beach 51st St, Far Rockaway NY, 11691-1048. NPI Number Kathoucha Edouard LCSW has the Individual type.

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1124208715 NPI number is provided on an as is basis without warranty of any kind. 1124208715 is maintained by the National Plan & Provider Enumeration System. The contents of Kathoucha Edouard LCSW are for informational purposes only.