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1235423872
JOHN MANCUSO
SUFFERN, NY
NPI
1235423872
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 023073)
Enumeration Date
2011-05-31
Last Update Date
2011-05-31
Business Address
-- JOHN MANCUSO
3 HIDDEN VALLEY DR
SUFFERN, NY 10901-1301
Phone number: 845-354-2478
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Mailing Address
-- JOHN MANCUSO
3 HIDDEN VALLEY DR
SUFFERN, NY 10901-1301
Phone number: 845-354-2478
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