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1972640431
CARLOS VICUNA
JAMAICA, NY
NPI
1972640431
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY R058701)
Enumeration Date
2007-01-31
Last Update Date
2007-07-08
Business Address
Mr. CARLOS VICUNA LCSW
8956 162ND ST
JAMAICA, NY 11432-5072
Phone number: 718-657-7100
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Mailing Address
Mr. CARLOS VICUNA LCSW
3920 GREENPOINT AVE APT. 7V
SUNNYSIDE, NY 11104-4532
Phone number: 718-937-5852
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