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1821121146
CHARLES P GERACE
PORT JEFFERSON STATION, NY
NPI
1821121146
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Professional Name
CHARLES P GERACE
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 073130-1)
Enumeration Date
2007-03-14
Last Update Date
2007-07-08
Business Address
Mr. CHARLES P GERACE L-CSW
1050 HALLOCK AVE SUITE 2
PORT JEFFERSON STATION, NY 11776-1214
Phone number: 631-930-6200
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Mailing Address
Mr. CHARLES P GERACE L-CSW
81 KATHERINE ST
PORT JEFFERSON STATION, NY 11776-1709
Phone number: 631-476-2104
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