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1003450479
NICOLE MARIE CORVAIA
SMITHTOWN, NY
NPI
1003450479
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-10-29
Last Update Date
2019-10-29
Business Address
NICOLE MARIE CORVAIA ATR. LCAT
161 E MAIN ST
SMITHTOWN, NY 11787-2879
Phone number: 631-360-7578
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Mailing Address
NICOLE MARIE CORVAIA ATR. LCAT
161 E MAIN ST
SMITHTOWN, NY 11787-2879
Phone number: 631-360-7578
Copy
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