JACQUES GODFREY SQUILLACE

WEST HEMPSTEAD, NY
NPI1740329192
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  R0373851)
Enumeration Date2007-02-05
Last Update Date2007-07-08
Business Address
Mr. JACQUES GODFREY SQUILLACE LCSW
659 PARK AVENUE
WEST HEMPSTEAD, NY 11552-3718
Phone number: 516-565-6146
Mailing Address
Mr. JACQUES GODFREY SQUILLACE LCSW
659 PARK AVENUE
WEST HEMPSTEAD, NY 11552-3718
Phone number: 516-565-6146
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