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1154572469
DELSA JOHNSON FAUCONIER
STATEN ISLAND, NY
NPI
1154572469
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 0754161)
Enumeration Date
2008-10-06
Last Update Date
2009-01-21
Business Address
Mrs. DELSA JOHNSON FAUCONIER LCSW
1953 RICHMOND TER
STATEN ISLAND, NY 10302-1201
Phone number: 718-614-3363
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Mailing Address
Mrs. DELSA JOHNSON FAUCONIER LCSW
97 BUSH AVE
STATEN ISLAND, NY 10303-2215
Phone number: 718-614-3363
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