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1548481401
TERRANCE T. DE LISLE
BROOKLYN, NY
NPI
1548481401
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 074751)
Enumeration Date
2007-05-01
Last Update Date
2007-07-08
Business Address
Mr. TERRANCE T. DE LISLE LCSW
149 GLEN ST
BROOKLYN, NY 11208-2919
Phone number: 347-526-3350
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Mailing Address
Mr. TERRANCE T. DE LISLE LCSW
149 GLEN ST
BROOKLYN, NY 11208-2919
Phone number: 347-526-3350
Copy
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