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1134293202
LINDA ILLIDGE
BROOKLYN, NY
NPI
1134293202
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 071530-1)
Enumeration Date
2006-11-20
Last Update Date
2007-07-08
Business Address
Ms. LINDA ILLIDGE
140 CADMAN PLZ W
BROOKLYN, NY 11201-1852
Phone number: 347-517-0117
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Mailing Address
Ms. LINDA ILLIDGE
140 CADMAN PLZ W
BROOKLYN, NY 11201-1852
Phone number: 347-517-0117
Copy
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