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1255586731
STEVEN GUSTAV RISE
HUNTINGTON STATION, NY
NPI
1255586731
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 058977-1)
Enumeration Date
2008-11-25
Last Update Date
2008-11-25
Business Address
Mr. STEVEN GUSTAV RISE LCSW
71 NORWICH ST
HUNTINGTON STATION, NY 11746-8423
Phone number: 631-470-8395
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Mailing Address
Mr. STEVEN GUSTAV RISE LCSW
71 NORWICH ST
HUNTINGTON STATION, NY 11746-8423
Phone number: 631-470-8395
Copy
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