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1518155456
MICHAEL ROSE
SMITHTOWN, NY
NPI
1518155456
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 025252)
Enumeration Date
2007-10-04
Last Update Date
2007-10-04
Business Address
Mr. MICHAEL ROSE LCSW-R
994 JERICHO TPKE STE 202
SMITHTOWN, NY 11787-3234
Phone number: 631-462-5360
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Mailing Address
Mr. MICHAEL ROSE LCSW-R
994 JERICHO TPKE STE 202
SMITHTOWN, NY 11787-3234
Phone number: 631-462-5360
Copy
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