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1750015566
SAMUEL GARRISON DOUGLAS
NEW YORK, NY
NPI
1750015566
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 093170)
Enumeration Date
2022-07-16
Last Update Date
2022-07-16
Business Address
Mr. SAMUEL GARRISON DOUGLAS LCSW
26 W 9TH ST APT 2D
NEW YORK, NY 10011-8923
Phone number: 917-318-8959
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Mailing Address
Mr. SAMUEL GARRISON DOUGLAS LCSW
192 WASHINGTON PARK APT 5
BROOKLYN, NY 11205-4047
Phone number: 917-318-8959
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