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1043923675
MATTHEW ADAM MARK
FAR ROCKAWAY, NY
NPI
1043923675
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2022-12-28
Last Update Date
2022-12-28
Business Address
MATTHEW ADAM MARK MSW
156 BEACH 9TH ST
FAR ROCKAWAY, NY 11691-5636
Phone number: 718-686-3149
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Mailing Address
MATTHEW ADAM MARK MSW
156 BEACH 9TH ST
FAR ROCKAWAY, NY 11691-5636
Phone number: 718-686-3149
Copy
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