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1821144288
FRED CIPRIANO RUSSO
EAST NORTHPORT, NY
NPI
1821144288
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY R023424)
Enumeration Date
2007-01-26
Last Update Date
2007-07-08
Business Address
Mr. FRED CIPRIANO RUSSO LCSW
1023 PULASKI ROAD
EAST NORTHPORT, NY 11731
Phone number: 631-261-4296
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Mailing Address
Mr. FRED CIPRIANO RUSSO LCSW
1023 PULASKI ROAD
EAST NORTHPORT, NY 11731
Phone number: 631-261-4296
Copy
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