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1275074601
PHYLLIS MARIE MINER
JAMAICA, NY
NPI
1275074601
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Professional Name
PHYLLIS MARIE MINER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 048359)
Enumeration Date
2017-03-18
Last Update Date
2017-05-01
Business Address
-- PHYLLIS MARIE MINER LMSW
16633 89TH AVE 9C
JAMAICA, NY 11432-4255
Phone number: 347-724-2070
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Mailing Address
-- PHYLLIS MARIE MINER LMSW
16633 89TH AVE 9C
JAMAICA, NY 11432-4255
Phone number: 347-724-2070
Copy
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