Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 150.015802 | IL |
NPI | 1003284233 |
---|---|
Provider Name | Laura Swotinsky |
First Address | Bronx, NY 10455-4104 |
Second Address | Bronx, NY 10455-4104 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/09/2015 |
Last Update Date | 12/01/2022 |