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1013503416
MAXIMINO LAROCCO
OLD BRIDGE, NJ
NPI
1013503416
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 071405)
Enumeration Date
2020-12-19
Last Update Date
2020-12-19
Business Address
MAXIMINO LAROCCO LCSW
87 FARLESS AVE
OLD BRIDGE, NJ 08857-1262
Phone number: 917-865-8690
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Mailing Address
MAXIMINO LAROCCO LCSW
87 FARLESS AVE
OLD BRIDGE, NJ 08857-1262
Phone number: 917-865-8690
Copy
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