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1295366268
RUSSELL SALVATORE GOVERNALE
BRONX, NY
NPI
1295366268
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 044761)
Enumeration Date
2020-01-29
Last Update Date
2020-01-29
Business Address
RUSSELL SALVATORE GOVERNALE LMSW
731 WHITE PLAINS RD
BRONX, NY 10473-2631
Phone number: 718-822-9140
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Mailing Address
RUSSELL SALVATORE GOVERNALE LMSW
138 MONTROSE AVE
BROOKLYN, NY 11206-2043
Phone number:
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