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1215646344
MICHAEL DAVID FACCINI
BRONX, NY
NPI
1215646344
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 118083)
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2022-11-17
Last Update Date
2022-11-17
Business Address
MICHAEL DAVID FACCINI LMSW
630 JACKSON AVE
BRONX, NY 10455-3107
Phone number: 347-443-1403
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Mailing Address
MICHAEL DAVID FACCINI LMSW
320 WADSWORTH AVE APT 2L
NEW YORK, NY 10040-4143
Phone number: 917-332-8565
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