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1114004447
NELSON REDDY
STATEN ISLAND, NY
NPI
1114004447
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 070210-1)
Enumeration Date
2006-11-01
Last Update Date
2007-07-08
Business Address
Mr. NELSON REDDY LCSW
2795 RICHMOND AVE
STATEN ISLAND, NY 10314-5857
Phone number: 718-761-9800
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Mailing Address
Mr. NELSON REDDY LCSW
39 DIRENZO CT
STATEN ISLAND, NY 10309-3623
Phone number: 718-227-1031
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