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1033621651
JOIE ADAM DERITIS
NEW YORK, NY
NPI
1033621651
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 090555)
Enumeration Date
2017-11-05
Last Update Date
2022-06-30
Business Address
JOIE ADAM DERITIS LCSW
150 BROADWAY RM 1708
NEW YORK, NY 10038-4390
Phone number: 917-991-8417
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Mailing Address
JOIE ADAM DERITIS LCSW
1204 MAIN ST STE 585
BRANFORD, CT 06405-3787
Phone number: 929-369-0579
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