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1083724124
THEODORE L HERNITCHE
COMMACK, NY
NPI
1083724124
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY R038418-1)
Enumeration Date
2006-08-30
Last Update Date
2017-09-11
Business Address
Mr. THEODORE L HERNITCHE LCSW
368 VETERANS MEMORIAL HWY
COMMACK, NY 11725-4322
Phone number: 631-863-2499
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Mailing Address
Mr. THEODORE L HERNITCHE LCSW
180 E MAIN ST STE 202
SMITHTOWN, NY 11787-2800
Phone number: 631-863-2499
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