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1689215089
SAMANTHA C FORTUNE
SMITHTOWN, NY
NPI
1689215089
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: NY 107778)
Enumeration Date
2019-10-07
Last Update Date
2019-10-07
Business Address
SAMANTHA C FORTUNE LMSW
11 ROUTE 11 2ND FLOOR
SMITHTOWN, NY 11787
Phone number: 631-656-9550
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Mailing Address
SAMANTHA C FORTUNE LMSW
11 ROUTE 111 STE 2
SMITHTOWN, NY 11787-3754
Phone number: 631-656-9550
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