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1184023020
JACK BETHKE
BROOKLYN, NY
NPI
1184023020
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 72 083669)
Enumeration Date
2014-08-16
Last Update Date
2014-08-16
Business Address
-- JACK BETHKE LMSW
36 CAMBRIDGE PL
BROOKLYN, NY 11238-1908
Phone number: 917-309-1163
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Mailing Address
-- JACK BETHKE LMSW
36 CAMBRIDGE PL
BROOKLYN, NY 11238-1908
Phone number:
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