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1659456036
MIKHAIL DANIELOV
REGO PARK, NY
NPI
1659456036
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 070871-1)
Enumeration Date
2006-10-26
Last Update Date
2007-07-08
Business Address
Mr. MIKHAIL DANIELOV LMSW
9745 QUEENS BLVD PH FLOOR
REGO PARK, NY 11374-2101
Phone number: 718-896-9090
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Mailing Address
Mr. MIKHAIL DANIELOV LMSW
10230 QUEENS BLVD APT. #5J
FOREST HILLS, NY 11375-3163
Phone number: 718-896-7960
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