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1427169184
LARRY BACKILMAN
NORTHPORT, NY
NPI
1427169184
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: NY 076031)
Enumeration Date
2006-08-31
Last Update Date
2008-05-30
Business Address
Mr. LARRY BACKILMAN LCSW
79 MIDDLEVILLE RD
NORTHPORT, NY 11768-2200
Phone number: 631-261-4400
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Mailing Address
Mr. LARRY BACKILMAN LCSW
67 SMITH ST
GREENLAWN, NY 11740-1219
Phone number: 631-754-8175
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