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1275683732
KEITH MICHAEL BRACKETT
NEW YORK, NY
NPI
1275683732
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 0752351)
Enumeration Date
2007-01-10
Last Update Date
2007-07-08
Business Address
Mr. KEITH MICHAEL BRACKETT LCSW
1727 AMSTERDAM AVE
NEW YORK, NY 10031-4611
Phone number: 212-694-9200
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Mailing Address
Mr. KEITH MICHAEL BRACKETT LCSW
3067 33RD ST APT 2A
ASTORIA, NY 11102-1437
Phone number:
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