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Organization
INSTITUTE FOR COMMUNITY LIVING
Active
Organization
INSTITUTE FOR COMMUNITY LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEWEY HOWARD (CFO)
(212) 385-3030
Entity
Organization
Contact information
Practice address
484 ROCKAWAY AVE, BROOKLYN, BROOKLYN, NY 11212-5636
(718) 949-5670
Mailing address
484 ROCKAWAY AVE, BROOKLYN, BROOKLYN, NY 11212-5636
(718) 949-5670
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
097068
NY
Other
Enumeration date
08/09/2016
Last updated
08/09/2016
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