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1740046846
LUIS ANTONIO VELASQUEZ
FORT DRUM, NY
NPI
1740046846
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 119408-01)
Enumeration Date
2024-02-26
Last Update Date
2024-02-26
Business Address
LUIS ANTONIO VELASQUEZ Social Worker
11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602-2603
Phone number: 315-772-9519
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Mailing Address
LUIS ANTONIO VELASQUEZ Social Worker
22465 DUFFY RD
WATERTOWN, NY 13601-1766
Phone number: 315-767-1649
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