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1265594329
BRUCE M GROSSMAN
CORAM, NY
NPI
1265594329
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY R016609)
Enumeration Date
2006-12-15
Last Update Date
2007-07-08
Business Address
Mr. BRUCE M GROSSMAN LCSW
6 HYSON WAY
CORAM, NY 11727-1833
Phone number: 631-698-0134
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Mailing Address
Mr. BRUCE M GROSSMAN LCSW
6 HYSON WAY
CORAM, NY 11727-1833
Phone number: 631-698-0134
Copy
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