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1124884739
THERESA DEEPAN
ROSEDALE, NY
NPI
1124884739
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: NY 110165)
Enumeration Date
2024-02-22
Last Update Date
2024-02-22
Business Address
THERESA DEEPAN LMSW
15514 BROAD ST
ROSEDALE, NY 11422-3105
Phone number: 718-825-8628
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Mailing Address
THERESA DEEPAN LMSW
PO BOX 502
JAMAICA, NY 11434-0502
Phone number: 718-825-8628
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