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Case Number and Status

Case Number: I-200-16071-505618

Submitted on:

CERTIFIED

on:

Employment

From: 2016-06-02

To: 2019-06-01 (1,094 days)

Address

7409 37th Ave
Jackson Heights, NY 11372

Phone

7187792263


Attorney Summary

Location
New York, NY

Job Summary

Job Title
Licensed Clinician
City and State
Jackson Heights, NY
County
Queens

Soc Code
21-1023.00
Naics Code
Industry Code
621420