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1023436649
IDA LANDERS
STATEN ISLAND, NY
NPI
1023436649
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 074357-1)
Enumeration Date
2014-04-01
Last Update Date
2014-04-01
Business Address
-- IDA LANDERS LCSW
36 SIMMONS LN
STATEN ISLAND, NY 10314-4775
Phone number: 917-808-9446
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Mailing Address
-- IDA LANDERS LCSW
36 SIMMONS LANE
STATEN ISLAND, NY 10314
Phone number: 917-808-9446
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