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1376924225
MICHAEL A ETHERIDGE
NEW YORK, NY
NPI
1376924225
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 062637)
Enumeration Date
2015-06-17
Last Update Date
2015-06-17
Business Address
Mr. MICHAEL A ETHERIDGE LMSW
81 WORTH ST
NEW YORK, NY 10013-3411
Phone number: 646-408-7382
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Mailing Address
Mr. MICHAEL A ETHERIDGE LMSW
165 CHRISTOPHER ST APT 2BB
NEW YORK, NY 10014-2803
Phone number: 646-408-7382
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