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1700497195
ANTONIETTA BRUCCOLERI
SMITHTOWN, NY
NPI
1700497195
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 096898)
Enumeration Date
2020-08-11
Last Update Date
2024-03-08
Business Address
ANTONIETTA BRUCCOLERI LCSW
22 LAWRENCE AVE STE 211
SMITHTOWN, NY 11787-3619
Phone number: 631-360-2223
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Mailing Address
ANTONIETTA BRUCCOLERI LCSW
22 LAWRENCE AVE STE 211
SMITHTOWN, NY 11787-3619
Phone number: 631-360-2223
Copy
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