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Individual
JOSEPH TRISTAN
Active
Individual
JOSEPH TRISTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
101156
NY
1041C0700X
Clinical Social Worker
Primary
091382
NY
Other
Enumeration date
07/31/2017
Last updated
08/26/2025
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