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1205909173
CARL BAGNINI
PORT WASHINGTON, NY
NPI
1205909173
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY R011808)
Enumeration Date
2006-11-16
Last Update Date
2007-07-08
Business Address
Mr. CARL BAGNINI LCSW
1148 PORT WASHINGTON BLVD
PORT WASHINGTON, NY 11050-3025
Phone number: 516-944-8927
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Mailing Address
Mr. CARL BAGNINI LCSW
100 OAKLAND AVE
PORT WASHINGTON, NY 11050-1842
Phone number: 516-944-8927
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