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1255604161
ELLOUISE SUMMERVILLE
ASTORIA, NY
NPI
1255604161
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: NY 084820)
Enumeration Date
2012-02-23
Last Update Date
2012-02-23
Business Address
-- ELLOUISE SUMMERVILLE
2534 STEINWAY ST
ASTORIA, NY 11103-3702
Phone number: 718-777-5243
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Mailing Address
-- ELLOUISE SUMMERVILLE
158 DUBOIS AVE
STATEN ISLAND, NY 10310-2265
Phone number: 718-877-3209
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