STEPHEN L FREDERICO

STONY BROOK, NY
NPI1932121373
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  PRO22599)
Enumeration Date2006-07-24
Last Update Date2007-07-08
Business Address
Mr. STEPHEN L FREDERICO LCSW-R
1212 NORTH COUNTRY RD SUITE 4B
STONY BROOK, NY 11790
Phone number: 631-246-9000
Mailing Address
Mr. STEPHEN L FREDERICO LCSW-R
1212 NORTH COUNTRY ROAD SUITE 4B
STONY BROOK, NY 11790
Phone number: 631-246-9000
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