STEPHEN BRAZEAU

PORT JEFFERSON STATION, NY
NPI1508901075
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  R054344)
Enumeration Date2007-02-21
Last Update Date2007-07-08
Business Address
-- STEPHEN BRAZEAU LCSW-R
1050 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776-1214
Phone number: 631-942-5851
Mailing Address
-- STEPHEN BRAZEAU LCSW-R
59 W 19TH ST
HUNTINGTON STATION, NY 11746-3121
Phone number: 631-942-5851
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