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Individual
PETER PAUL
Active
Individual
PETER PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
116165
NY
1041C0700X
Clinical Social Worker
102259
NY
Other
Enumeration date
06/14/2022
Last updated
03/08/2026
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