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1629219001
HOSANA CRYSTAL JEAN-ETIENNE
NORTHPORT, NY
NPI
1629219001
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Former Name
HOSANA CRYSTAL WILSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: NY 077080)
Enumeration Date
2009-03-16
Last Update Date
2009-11-24
Business Address
-- HOSANA CRYSTAL JEAN-ETIENNE L.M.S.W.
79 MIDDLEVILLE RD
NORTHPORT, NY 11768-2200
Phone number: 631-261-4400
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Mailing Address
-- HOSANA CRYSTAL JEAN-ETIENNE L.M.S.W.
79 MIDDLEVILLE ROAD VA MEDICAL CENTER NORTHPORT
NORTHPORT, NY 11768-4715
Phone number: 631-261-4400
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