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1972060523
SAMANTHA MARIE LOGALLO
ISLIP, NY
NPI
1972060523
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: NY 105884)
Enumeration Date
2019-03-01
Last Update Date
2019-03-01
Business Address
SAMANTHA MARIE LOGALLO
21 TAFT AVE
ISLIP, NY 11751-2111
Phone number: 631-356-6933
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Mailing Address
SAMANTHA MARIE LOGALLO
21 TAFT AVE
ISLIP, NY 11751-2111
Phone number: 631-356-6933
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