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1902951072
ESTELLE A BROUSSEAU
STATEN ISLAND, NY
NPI
1902951072
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY R054862)
Enumeration Date
2007-01-25
Last Update Date
2007-07-08
Business Address
Ms. ESTELLE A BROUSSEAU LCSW
77 OCEANIC AVE
STATEN ISLAND, NY 10312-6509
Phone number: 718-356-0430
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Mailing Address
Ms. ESTELLE A BROUSSEAU LCSW
PO BOX 120994
STATEN ISLAND, NY 10312-6509
Phone number: 718-356-0430
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