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1154421741
LUANN QUACKENBUSH
COMMACK, NY
NPI
1154421741
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY R032217-1)
Enumeration Date
2006-09-23
Last Update Date
2007-07-08
Business Address
Mrs. LUANN QUACKENBUSH LCSW
5036 JERICHO TPKE STE 203
COMMACK, NY 11725-2812
Phone number: 631-462-5222
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Mailing Address
Mrs. LUANN QUACKENBUSH LCSW
5036 JERICHO TPKE STE 203
COMMACK, NY 11725-2812
Phone number: 631-462-5222
Copy
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