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1740204544
MICHAEL JOHM SIMON
EAST MEADOW, NY
NPI
1740204544
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY 5778)
Enumeration Date
2006-07-26
Last Update Date
2007-07-08
Business Address
Dr. MICHAEL JOHM SIMON Ph.D
1473 ROSE LN
EAST MEADOW, NY 11554-3618
Phone number: 516-483-0289
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Mailing Address
Dr. MICHAEL JOHM SIMON Ph.D
1473 ROSE LN
EAST MEADOW, NY 11554-3618
Phone number: 516-483-0289
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