License Detail

NameCUCCURULLO ANTHONY A
AddressCOLD SPRING HARBORNY
ProfessionLICENSED MASTER SOCIAL WORK
License No004028
Date of Licensure09/01/04  (OriginallylicensedasaCertifiedSocialWorkeron01/11/68)
Additional Qualification
StatusNOT REGISTERED
Registered through last day of

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