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Individual
KEVIN JOSEPH GORRASI
Active
Individual
KEVIN JOSEPH GORRASI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
071648
NY
104100000X
Social Worker
Primary
071648
NY
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
071648-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
#071648
LICENSED MASTER SOCIAL WORKER
NY
Enumeration date
12/13/2006
Last updated
04/20/2011
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