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1255766846
JULIA K DISTENFELD
RIVERHEAD, NY
NPI
1255766846
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: NY 066103-1)
Enumeration Date
2013-09-13
Last Update Date
2013-09-13
Business Address
-- JULIA K DISTENFELD LMSW
300 CENTER DR
RIVERHEAD, NY 11901-3393
Phone number: 631-852-2690
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Mailing Address
-- JULIA K DISTENFELD LMSW
300 CENTER DR
RIVERHEAD, NY 11901-3393
Phone number: 631-852-2690
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