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1811017163
MARY ANN SISTO CLARK
STATEN ISLAND, NY
NPI
1811017163
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 037371)
Enumeration Date
2007-03-30
Last Update Date
2023-04-12
Business Address
Ms. MARY ANN SISTO CLARK LCSW
633 CLOVE RD
STATEN ISLAND, NY 10310-2736
Phone number: 888-516-5504
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Mailing Address
Ms. MARY ANN SISTO CLARK LCSW
36 BEACON AVE
STATEN ISLAND, NY 10306-1351
Phone number: 888-516-5504
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