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1588974331
AUDREY LORRAINE MALCOLM
BAY SHORE, NY
NPI
1588974331
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: NY 077775)
Enumeration Date
2010-10-14
Last Update Date
2020-03-03
Business Address
Ms. AUDREY LORRAINE MALCOLM LMSW
83 E MAIN ST
BAY SHORE, NY 11706-8305
Phone number: 347-645-7202
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Mailing Address
Ms. AUDREY LORRAINE MALCOLM LMSW
229-47 129TH AVENUE
SPRINGFIELD GARDENS, NY 11413-2209
Phone number: 347-645-7202
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