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1861099426
STEPHANIE J MOON
LONG ISLAND CITY, NY
NPI
1861099426
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 089704)
Enumeration Date
2020-10-07
Last Update Date
2020-10-29
Business Address
STEPHANIE J MOON
3100 47TH AVE STE 3100
LONG ISLAND CITY, NY 11101-3050
Phone number: 888-684-2779
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Mailing Address
STEPHANIE J MOON
3100 47TH AVE STE 3100
LONG ISLAND CITY, NY 11101-3050
Phone number: 888-684-2779
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