Averille Bc Malcolm
Averille Bc Malcolm is a Social Worker in Bayside, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2021
Practice location Address checks out
6130 217th StBayside, NY 11364-2234
Phone: (917) 362-7309
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Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X · Licence 113628 (NY) |
|---|
Record details
| NPI number | 1447929724 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 9, 2021 |
| Last updated in NPPES | September 9, 2021 |
| Certification date | September 3, 2021 |
| Mailing address | 6130 217th St, Bayside, NY 11364-2234 |
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