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1306181938
PATRICK BRYAN GRANELLI
RIDGEWOOD, NJ
NPI
1306181938
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44SC05512300)
Enumeration Date
2012-12-08
Last Update Date
2012-12-08
Business Address
Mr. PATRICK BRYAN GRANELLI LCSW
112 PROSPECT ST
RIDGEWOOD, NJ 07450-4489
Phone number: 201-674-3673
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Mailing Address
Mr. PATRICK BRYAN GRANELLI LCSW
16 WESTERVELT AVE
HAWTHORNE, NJ 07506-3817
Phone number: 201-674-3673
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