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1255445094
SCOTT MAIDAT
WANTAGH, NY
NPI
1255445094
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY PR023069-1)
Enumeration Date
2006-08-18
Last Update Date
2007-07-08
Business Address
-- SCOTT MAIDAT LCSW
3375 PARK AVE
WANTAGH, NY 11793-3733
Phone number: 516-781-1911
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Mailing Address
-- SCOTT MAIDAT LCSW
3375 PARK AVE
WANTAGH, NY 11793-3733
Phone number: 516-781-1911
Copy
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