GUY ANTHONY KOUTOUVIDIS

PORT JEFFERSON, NY
NPI1609941814
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  R052825-1)
Enumeration Date2006-11-22
Last Update Date2007-07-08
Business Address
Mr. GUY ANTHONY KOUTOUVIDIS MSW, LCSW
14 E BROADWAY SUITE 2
PORT JEFFERSON, NY 11777-1400
Phone number: 631-642-9525
Mailing Address
Mr. GUY ANTHONY KOUTOUVIDIS MSW, LCSW
4 OLIVIA DR
PORT JEFFERSON STATION, NY 11776-4470
Phone number: 631-474-2162
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