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1124145958
GERALD WALTER DWYER
STATEN ISLAND, NY
NPI
1124145958
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY R054922)
Enumeration Date
2007-03-25
Last Update Date
2007-07-08
Business Address
Mr. GERALD WALTER DWYER LCSW
4062 AMBOY RD
STATEN ISLAND, NY 10308-2409
Phone number: 718-984-0854
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Mailing Address
Mr. GERALD WALTER DWYER LCSW
12 GRANDVIEW TER
STATEN ISLAND, NY 10308-2812
Phone number: 718-984-0854
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