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1013163187
ALAN VINCENT IVICIC
WHITE PLAINS, NY
NPI
1013163187
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 079338)
Enumeration Date
2008-08-08
Last Update Date
2021-01-08
Business Address
Mr. ALAN VINCENT IVICIC LCSW-R
280 DOBBS FERRY RD STE 200
WHITE PLAINS, NY 10607-1908
Phone number: 917-336-4289
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Mailing Address
Mr. ALAN VINCENT IVICIC LCSW-R
2005 PALMER AVE # 782
LARCHMONT, NY 10538-2437
Phone number: 917-336-4289
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