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1649745779
CASEY ROSE FORDHAM
MASSAPEQUA, NY
NPI
1649745779
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 095857)
Enumeration Date
2018-10-04
Last Update Date
2023-08-18
Business Address
CASEY ROSE FORDHAM BA
75 GRAND AVE
MASSAPEQUA, NY 11758-4905
Phone number: 516-799-3203
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Mailing Address
CASEY ROSE FORDHAM BA
75 GRAND AVE
MASSAPEQUA, NY 11758-4905
Phone number: 516-765-6388
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