STEPHEN JOHN BOOSE

RONKONKOMA, NY
NPI1366071730
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: NY  107917)
Enumeration Date2020-04-07
Last Update Date2020-04-07
Business Address
STEPHEN JOHN BOOSE LMSW
939 JOHNSON AVE
RONKONKOMA, NY 11779-6066
Phone number: 631-471-7242
Mailing Address
STEPHEN JOHN BOOSE LMSW
175 BARTON AVE
PATCHOGUE, NY 11772-1401
Phone number: 631-255-8187
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