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1114401726
PAUL NICK IBARRA
BROOKLYN, NY
NPI
1114401726
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 0291867)
Enumeration Date
2018-09-19
Last Update Date
2018-09-19
Business Address
Mr. PAUL NICK IBARRA LCSW
800 POLY PL
BROOKLYN, NY 11209-7104
Phone number: 718-836-6600
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Mailing Address
Mr. PAUL NICK IBARRA LCSW
9265 SHORE RD APT 4E
BROOKLYN, NY 11209-6591
Phone number: 347-524-1324
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