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1912445792
FRANK JOHN GUASTELLA
RIVERHEAD, NY
NPI
1912445792
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 090429-01)
Enumeration Date
2017-02-01
Last Update Date
2020-11-23
Business Address
Mr. FRANK JOHN GUASTELLA LCSW
400 W MAIN ST
RIVERHEAD, NY 11901-2813
Phone number: 631-508-5006
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Mailing Address
Mr. FRANK JOHN GUASTELLA LCSW
130 ARTIST LAKE DR
MIDDLE ISLAND, NY 11953-2311
Phone number: 631-645-1720
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