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Organization
MAROBANLCSW PC
Active
Organization
MAROBANLCSW PC
Active
Other names
MarbobanCSW PC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK MITCHEL ROBERTS LCSW (CORPORATE OFFICER)
(212) 367-3798
Entity
Organization
Contact information
Practice address
85 5TH AVENUE, SUITE 903, NEW YORK, NY 10003-3019
(212) 367-3798
(718) 935-9565
Mailing address
85 5TH AVENUE, SUITE 903, NEW YORK, NY 10003-3019
(212) 367-3798
(718) 935-9565
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/13/2006
Last updated
06/28/2008
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