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1114798147
MADELEINE BLAINE PHELAN
NEW YORK, NY
NPI
1114798147
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 122113)
Enumeration Date
2024-01-09
Last Update Date
2024-01-09
Business Address
MADELEINE BLAINE PHELAN LMSW
276 5TH AVE RM 605
NEW YORK, NY 10001-4527
Phone number: 917-847-7556
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Mailing Address
MADELEINE BLAINE PHELAN LMSW
250 W 19TH ST APT 5L
NEW YORK, NY 10011-4051
Phone number: 973-908-2017
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