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1225169873
ANDJELKO BOTA
ASTORIA, NY
NPI
1225169873
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY R046981-1)
Enumeration Date
2007-03-07
Last Update Date
2007-07-08
Business Address
Mr. ANDJELKO BOTA LCSW
3085 36TH ST
ASTORIA, NY 11103-4704
Phone number: 718-726-5152
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Mailing Address
Mr. ANDJELKO BOTA LCSW
3085 36TH ST
ASTORIA, NY 11103-4704
Phone number: 718-726-5152
Copy
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