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1003992611
CAROL MARCIA POTRUCH
MINEOLA, NY
NPI
1003992611
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY R040274-1)
Enumeration Date
2006-10-27
Last Update Date
2007-07-08
Business Address
Dr. CAROL MARCIA POTRUCH LCSW, PhD
1527 FRANKLIN AVE SUITE 203
MINEOLA, NY 11501-4827
Phone number: 516-317-1493
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Mailing Address
Dr. CAROL MARCIA POTRUCH LCSW, PhD
220 E 67TH ST
NEW YORK, NY 10021-6255
Phone number: 516-317-1493
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