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1013010602
ISABEL ACOSTA WILDEMAN
ROCKVILLE CENTRE, NY
NPI
1013010602
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY PR0138621)
Enumeration Date
2006-09-07
Last Update Date
2007-07-08
Business Address
Ms. ISABEL ACOSTA WILDEMAN LCSW
100 NORTH VILLAGE AVE SUITE 25
ROCKVILLE CENTRE, NY 11570-3712
Phone number: 516-485-4003
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Mailing Address
Ms. ISABEL ACOSTA WILDEMAN LCSW
100 NORTH VILLAGE AVE SUITE 25
ROCKVILLE CENTRE, NY 11570-3712
Phone number: 516-485-4003
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