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1750726113
ANTOINETTE MAXINE RUSSELL
JAMAICA, NY
NPI
1750726113
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 0805301-1)
Enumeration Date
2013-04-29
Last Update Date
2013-04-29
Business Address
Ms. ANTOINETTE MAXINE RUSSELL LMSW
17545 88TH AVE APT # 4G
JAMAICA, NY 11432-5759
Phone number: 917-587-5550
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Mailing Address
Ms. ANTOINETTE MAXINE RUSSELL LMSW
17545 88TH AVE APT # 4G
JAMAICA, NY 11432-5759
Phone number: 917-587-5550
Copy
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