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1144975079
NATHAN MODAFFERI
WATERTOWN, NY
NPI
1144975079
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: NY 108730)
Enumeration Date
2022-02-18
Last Update Date
2022-02-18
Business Address
NATHAN MODAFFERI
1704 STATE ST
WATERTOWN, NY 13601-3102
Phone number: 315-788-7430
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Mailing Address
NATHAN MODAFFERI
PO BOX 6550
WATERTOWN, NY 13601-6550
Phone number: 315-788-7430
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