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1457518292
FABIAN SERGIO WANDER
WOODSIDE, NY
NPI
1457518292
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: NY 075755)
Enumeration Date
2008-05-20
Last Update Date
2010-03-15
Business Address
Mr. FABIAN SERGIO WANDER L.M.S.W.
6714 41ST AVE WOODSIDE CLINIC
WOODSIDE, NY 11377-3790
Phone number: 917-568-3500
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Mailing Address
Mr. FABIAN SERGIO WANDER L.M.S.W.
8309 35TH AVE A-22
JACKSON HEIGHTS, NY 11372-5370
Phone number: 917-568-3500
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