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1922433945
MICHAEL ECKLUND
STATEN ISLAND, NY
NPI
1922433945
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NJ 37AC00191600)
Enumeration Date
2013-09-10
Last Update Date
2016-05-06
Business Address
Mr. MICHAEL ECKLUND
8 IVY CT
STATEN ISLAND, NY 10309-1640
Phone number: 917-371-5235
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Mailing Address
Mr. MICHAEL ECKLUND
8 IVY CT
STATEN ISLAND, NY 10309-1640
Phone number: 917-371-5235
Copy
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