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1396219820
MARYELLEN GERONIMO REYES
STATEN ISLAND, NY
NPI
1396219820
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 051767)
Enumeration Date
2019-01-17
Last Update Date
2019-01-17
Business Address
MARYELLEN GERONIMO REYES LCSW-R
2285 VICTORY BLVD
STATEN ISLAND, NY 10314-6631
Phone number: 646-409-7687
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Mailing Address
MARYELLEN GERONIMO REYES LCSW-R
80 WALTERS AVE
STATEN ISLAND, NY 10301-4121
Phone number:
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