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1225134430
JEFFREY IRA BRYAN
PLAINVIEW, NY
NPI
1225134430
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY PR020536-1)
Enumeration Date
2006-09-15
Last Update Date
2007-07-08
Business Address
Mr. JEFFREY IRA BRYAN MSW
73 BRIARWOOD LANE
PLAINVIEW, NY 11803-6329
Phone number: 516-939-0117
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Mailing Address
Mr. JEFFREY IRA BRYAN MSW
73 BRIARWOOD LANE
PLAINVIEW, NY 11803-6329
Phone number: 516-939-0117
Copy
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