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1639640394
ELENA BETH LICANDRO
HAUPPAUGE, NY
NPI
1639640394
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: NY 105308)
Enumeration Date
2018-12-06
Last Update Date
2018-12-06
Business Address
ELENA BETH LICANDRO LMSW
1324 MOTOR PKWY STE 104
HAUPPAUGE, NY 11749-5226
Phone number: 631-761-6700
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Mailing Address
ELENA BETH LICANDRO LMSW
1324 MOTOR PKWY STE 104
HAUPPAUGE, NY 11749-5226
Phone number: 631-761-6700
Copy
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