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1104902733
PHYLLIS HYATT
REGO PARK, NY
NPI
1104902733
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 036146)
Enumeration Date
2006-10-27
Last Update Date
2007-07-08
Business Address
-- PHYLLIS HYATT LCSW
9729 64TH RD
REGO PARK, NY 11374-2240
Phone number: 718-896-3400
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Mailing Address
-- PHYLLIS HYATT LCSW
9729 64TH RD
REGO PARK, NY 11374-2240
Phone number: 917-670-6470
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