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1518178128
ROBERT E DETOR
PORT WASHINGTON, NY
NPI
1518178128
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY R020697-1)
Enumeration Date
2007-05-25
Last Update Date
2007-07-08
Business Address
Mr. ROBERT E DETOR LCSW
35 HILLTOP RD
PORT WASHINGTON, NY 11050-2725
Phone number: 631-608-5105
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Mailing Address
Mr. ROBERT E DETOR LCSW
400 SUNRISE HWY
AMITYVILLE, NY 11701-2508
Phone number: 631-608-5105
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