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1265567010
MICHAL HERRIDGE RUSK
RIVERHEAD, NY
NPI
1265567010
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: NY R 0564041)
Enumeration Date
2007-02-22
Last Update Date
2007-07-08
Business Address
MRS. MICHAL HERRIDGE RUSK LCSW MSW BA
223 ROANOAK AVE
RIVERHEAD, NY 11901
Phone number: 631-727-9255
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Mailing Address
MRS. MICHAL HERRIDGE RUSK LCSW MSW BA
223 ROANOAK AVE
RIVERHEAD, NY 11901
Phone number: 631-727-9255
Copy
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