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1417961426
ELISSA GRUNBLATT
AMITYVILLE, NY
NPI
1417961426
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 069889-1)
Enumeration Date
2006-07-27
Last Update Date
2015-02-05
Business Address
-- ELISSA GRUNBLATT LCSW-R
191 BROADWAY
AMITYVILLE, NY 11701-2790
Phone number: 631-264-0058
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Mailing Address
-- ELISSA GRUNBLATT LCSW-R
191 BROADWAY
AMITYVILLE, NY 11701-2790
Phone number: 631-264-0058
Copy
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