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1982781043
JORDAN MATTHEW THALER
NEW YORK, NY
NPI
1982781043
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 080395)
Enumeration Date
2006-11-01
Last Update Date
2013-02-04
Business Address
-- JORDAN MATTHEW THALER
50 W 23RD ST 9TH FLOOR
NEW YORK, NY 10010-5205
Phone number: 212-989-2990
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Mailing Address
-- JORDAN MATTHEW THALER
155 W 81ST ST APT 4F
NEW YORK, NY 10024-7217
Phone number: 212-873-0333
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