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1609628502
MICAELA LARES CRUZ
STONY BROOK, NY
NPI
1609628502
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Former Name
MICAELA LARES NIEVES
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: NY 084300)
Enumeration Date
2024-04-03
Last Update Date
2024-04-03
Business Address
Mrs. MICAELA LARES CRUZ LMSW
1413 STONY BROOK RD
STONY BROOK, NY 11790-2214
Phone number: 631-827-8818
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Mailing Address
Mrs. MICAELA LARES CRUZ LMSW
104 PUTNAM AVE
PATCHOGUE, NY 11772-1088
Phone number: 631-827-8818
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