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Individual
DANIELLE M AGTUCA
Active
Individual
DANIELLE M AGTUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
076585
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
076585
LICENSE
NY
Enumeration date
04/16/2008
Last updated
04/16/2008
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