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1114049459
MARSHAL IAN NELSON
JAMAICA, NY
NPI
1114049459
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 077522-1)
Enumeration Date
2007-04-06
Last Update Date
2010-10-29
Business Address
Mr. MARSHAL IAN NELSON LCSW
8268 164TH ST
JAMAICA, NY 11432-1121
Phone number: 718-883-3649
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Mailing Address
Mr. MARSHAL IAN NELSON LCSW
8268 164TH ST
JAMAICA, NY 11432-1121
Phone number: 718-883-3649
Copy
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