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1093852691
NICOLE MARIE TOBIN
PORT JEFFERSON, NY
NPI
1093852691
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 049172-1)
Enumeration Date
2007-01-31
Last Update Date
2007-07-08
Business Address
Mrs. NICOLE MARIE TOBIN R-LCSW
905 MAIN ST
PORT JEFFERSON, NY 11777-2201
Phone number: 631-455-6951
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Mailing Address
Mrs. NICOLE MARIE TOBIN R-LCSW
29 THREE SISTERS RD
SAINT JAMES, NY 11780-1218
Phone number: 631-455-6951
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