RICHARD WALLACE KOFFLER

BAYSIDE, NY
NPI1154494102
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: NY  R069801)
Enumeration Date2006-11-16
Last Update Date2024-04-16
Business Address
RICHARD WALLACE KOFFLER CASAC
1666 BELL BLVD APT 724
BAYSIDE, NY 11360-1656
Phone number: 917-597-5592
Mailing Address
RICHARD WALLACE KOFFLER CASAC
1666 BELL BLVD APT 724
BAYSIDE, NY 11360-1656
Phone number: 917-597-5592
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