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1881252138
DERRICK LEMONT MANIGO
BRONX, NY
NPI
1881252138
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 083835)
Enumeration Date
2019-06-02
Last Update Date
2019-06-02
Business Address
Mr. DERRICK LEMONT MANIGO LCSW
120 W 176TH ST APT 5F
BRONX, NY 10453-6715
Phone number: 917-282-5203
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Mailing Address
Mr. DERRICK LEMONT MANIGO LCSW
120 W 176TH ST APT 5F
BRONX, NY 10453-6715
Phone number: 917-282-5203
Copy
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