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1548691678
CHARLES JAMES BRISCOE
WANTAGH, NY
NPI
1548691678
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 089653-1)
Enumeration Date
2013-11-27
Last Update Date
2013-12-12
Business Address
-- CHARLES JAMES BRISCOE LMSW
3375 PARK AVE
WANTAGH, NY 11793-3733
Phone number: 516-781-1911
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Mailing Address
-- CHARLES JAMES BRISCOE LMSW
3375 PARK AVE
WANTAGH, NY 11793-3733
Phone number: 516-781-1911
Copy
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