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1881778728
YEVGENIY EUGENE ITSKOVICH
BROOKLYN, NY
NPI
1881778728
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 0733261)
Enumeration Date
2006-10-25
Last Update Date
2007-07-08
Business Address
Mr. YEVGENIY EUGENE ITSKOVICH MSW
1819 AVENUE L #2 H
BROOKLYN, NY 11230
Phone number: 917-428-1071
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Mailing Address
Mr. YEVGENIY EUGENE ITSKOVICH MSW
1819 AVENUE L #2 H
BROOKLYN, NY 11230
Phone number: 917-428-1071
Copy
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