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1902118847
MADELINE RISSA MICCICHE
ROCHESTER, NY
NPI
1902118847
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 072098-1)
Enumeration Date
2010-07-08
Last Update Date
2010-07-08
Business Address
Ms. MADELINE RISSA MICCICHE LCSW-R
110 ALLENS CREEK RD
ROCHESTER, NY 14618-3304
Phone number: 585-746-2191
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Mailing Address
Ms. MADELINE RISSA MICCICHE LCSW-R
110 ALLENS CREEK RD
ROCHESTER, NY 14618-3304
Phone number: 585-746-2191
Copy
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