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1114071826
KURIAKO M CHACKO
BRONX, NY
NPI
1114071826
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: NY 0611821)
Enumeration Date
2007-01-22
Last Update Date
2007-07-08
Business Address
KURIAKO M CHACKO LCSW-R
LINCOLN MEDICAL AND MENTAL HEALTH CENTER 234 E 149TH ST.
BRONX, NY 10451
Phone number: 718-579-5657
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Mailing Address
KURIAKO M CHACKO LCSW-R
187 HUDSON TER
YONKERS, NY 10701-1917
Phone number: 914-964-6639
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