Monique Mack's National Provider Identifier (NPI) Details
Monique Mack, LCSW
NPI: 1649721689
Enumeration Date: 2016-10-14
Last updated: 2016-10-14
Sole Proprietor: YES
Status: active
Postal Address: 1543 JESUP AVE, BRONX, NY
Phone: 917-992-5924
Primary Practice Address: 1543 JESUP AVE, BRONX, NY
Practice's phone: 917-992-5924