Yvette Mardis PH.D., LCSW

NPI 1013906767 - Social Worker - 1041C0700X

NPI Details
NPI 1013906767
Gender Female
Enumeration Date 10/17/2005
Last Updated 12/15/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
11021 73RD RD
SUITE 1J
FOREST HILLS NY, 11375-6348, US
Phone (718) 699-8838
Fax (718) 699-8838
Business Location
11021 73RD RD
1J
FOREST HILLS NY, 11375-6348, US
Phone (718) 699-8838
Fax (718) 699-8838
Toxanomy
Taxonomy Code 1041C0700X
License State North Carolina
License Number C005483
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According to our database, Dr. Yvette Mardis PH.D., LCSW NPI is 1013906767, taxonomy code is 1041C0700X and license number is C005483, license state is located at North Carolina. Yvette Mardis PH.D., LCSW physically located at 11021 73rd Rd, Forest Hills NY, 11375-6348. NPI Number Yvette Mardis PH.D., LCSW has the Individual type.

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1013906767 NPI number is provided on an as is basis without warranty of any kind. 1013906767 is maintained by the National Plan & Provider Enumeration System. The contents of Yvette Mardis PH.D., LCSW are for informational purposes only.