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1053467753
ENRIQUE ANTONIO ROSARIO
SYRACUSE, NY
NPI
1053467753
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY R039068)
Enumeration Date
2007-01-26
Last Update Date
2024-10-02
Business Address
ENRIQUE ANTONIO ROSARIO LCSW-R
200 GATEWAY PARK DR
SYRACUSE, NY 13212-3760
Phone number: 315-391-7770
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Mailing Address
ENRIQUE ANTONIO ROSARIO LCSW-R
110 MECHANIC ST
FAYETTEVILLE, NY 13066-1333
Phone number: 505-365-1519
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