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Individual
JOSEPH RICHARD EVANGELISTI
Active
Individual
JOSEPH RICHARD EVANGELISTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
110318-01
NY
1041C0700X
Clinical Social Worker
Primary
097760
NY
Other
Enumeration date
09/10/2021
Last updated
09/03/2024
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