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1932121373
STEPHEN L FREDERICO
STONY BROOK, NY
NPI
1932121373
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY PRO22599)
Enumeration Date
2006-07-24
Last Update Date
2007-07-08
Business Address
Mr. STEPHEN L FREDERICO LCSW-R
1212 NORTH COUNTRY RD SUITE 4B
STONY BROOK, NY 11790
Phone number: 631-246-9000
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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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