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1376086595
ROANIE TAVERAS
BAY SHORE, NY
NPI
1376086595
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 098127)
Enumeration Date
2016-11-19
Last Update Date
2016-11-19
Business Address
-- ROANIE TAVERAS
31 ANNA ST
BAY SHORE, NY 11706-6901
Phone number: 631-220-6249
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Mailing Address
-- ROANIE TAVERAS
31 ANNA ST
BAY SHORE, NY 11706-6901
Phone number: 631-220-6249
Copy
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