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1982348058
LUIS GABRIEL ILLADES
BROOKLYN, NY
NPI
1982348058
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 132867001)
Enumeration Date
2022-04-25
Last Update Date
2022-04-25
Business Address
Mr. LUIS GABRIEL ILLADES CASAC, LMSW
190 N 10TH ST STE 203
BROOKLYN, NY 11211-9317
Phone number: 646-779-7172
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Mailing Address
Mr. LUIS GABRIEL ILLADES CASAC, LMSW
827 N FRANKLIN ST
WILMINGTON, DE 19806-4626
Phone number: 415-845-4964
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