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1174679369
MAUREEN DERVIN
SOUTHAMPTON, NY
NPI
1174679369
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY LCSW R027892)
Enumeration Date
2007-01-28
Last Update Date
2023-11-02
Business Address
MAUREEN DERVIN LCSW
97 BREESE LN
SOUTHAMPTON, NY 11968-4003
Phone number: 631-283-5798
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Mailing Address
MAUREEN DERVIN LCSW
PO BOX 956
SOUTHAMPTON, NY 11969-0956
Phone number: 631-283-5798
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