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1659365914
RICHARD MAIORELLA
EAST ISLIP, NY
NPI
1659365914
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY R038750-1)
Enumeration Date
2005-09-01
Last Update Date
2011-08-03
Business Address
Mr. RICHARD MAIORELLA LCSW
107 W MAIN ST SUNRISE COUNSELING CENTER
EAST ISLIP, NY 11730
Phone number: 631-666-1615
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Mailing Address
Mr. RICHARD MAIORELLA LCSW
798 SYLVAN AVE
BAYPORT, NY 11705-1552
Phone number: 631-472-2125
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