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1346390366
ALFRED T. ROSENVINGE
BAY SHORE, NY
NPI
1346390366
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY R036135-1)
Enumeration Date
2007-01-11
Last Update Date
2007-07-08
Business Address
Mr. ALFRED T. ROSENVINGE LCSW-R, ACSW
500 W MONTAUK HWY
BAY SHORE, NY 11706-8219
Phone number: 631-665-7701
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Mailing Address
Mr. ALFRED T. ROSENVINGE LCSW-R, ACSW
49 WEST FORT SALONGA ROAD
NORTHPORT, NY 11768
Phone number: 631-754-6425
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