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Individual

MR. BILL RENE MERITET

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
30 COUNTRY VIEW LN, MIDDLE ISLAND, NY 11953-1265
(631) 924-7568
Mailing address
30 COUNTRY VIEW LN, MIDDLE ISLAND, NY 11953-1265
(631) 924-7568

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R042965
NY

Other

Enumeration date
06/01/2006
Last updated
06/16/2015
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