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1306070776
MELINDA TARYN LUPO
ASTORIA, NY
NPI
1306070776
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Former Name
MELINDA TARYN BLOOM
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: NY 0800501)
Enumeration Date
2009-05-13
Last Update Date
2015-01-20
Business Address
MELINDA TARYN LUPO LCSW
3016 31ST STREET SUITE #1A
ASTORIA, NY 11102
Phone number: 216-403-4903
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Mailing Address
MELINDA TARYN LUPO LCSW
40 WYCKOFF STREET #3
BROOKLYN, NY 11201
Phone number: 216-403-4903
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