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1942352034
LARISSA ELLEN GOLLOUB
BROOKLYN, NY
NPI
1942352034
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY R050308-1)
Enumeration Date
2007-01-17
Last Update Date
2007-07-08
Business Address
Ms. LARISSA ELLEN GOLLOUB LCSW-R
2581 ATLANTIC AVE 2ND FLOOR
BROOKLYN, NY 11207-2412
Phone number: 718-890-8100
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Mailing Address
Ms. LARISSA ELLEN GOLLOUB LCSW-R
11115 75TH AVE APT. 5M
FOREST HILLS, NY 11375-6327
Phone number: 718-890-8100
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