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1265747133
CHRISTINE DERISO
HICKSVILLE, NY
NPI
1265747133
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 081188)
Enumeration Date
2010-08-16
Last Update Date
2010-08-16
Business Address
-- CHRISTINE DERISO
950 S OYSTER BAY RD
HICKSVILLE, NY 11801-3510
Phone number: 516-348-0285
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Mailing Address
-- CHRISTINE DERISO
950 S OYSTER BAY RD
HICKSVILLE, NY 11801-3510
Phone number: 516-348-0285
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