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1215355979
DEAN JOSEPH DERENZO
STATEN ISLAND, NY
NPI
1215355979
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY 009948-01)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2014-03-31
Last Update Date
2019-11-15
Business Address
DEAN JOSEPH DERENZO LMHC
1492 RICHMOND RD
STATEN ISLAND, NY 10304-2319
Phone number: 347-503-8625
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Mailing Address
DEAN JOSEPH DERENZO LMHC
86 GRANT PL
STATEN ISLAND, NY 10306-3250
Phone number: 347-702-1136
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