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1023551389
KONATA STALLINGS
LONG ISLAND CITY, NY
NPI
1023551389
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: NY 021895)
Enumeration Date
2016-11-18
Last Update Date
2016-11-18
Business Address
-- KONATA STALLINGS
4140 27TH ST
LONG ISLAND CITY, NY 11101-3825
Phone number: 718-784-2240
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Mailing Address
-- KONATA STALLINGS
4140 27TH ST
LONG ISLAND CITY, NY 11101-3825
Phone number: 718-784-2240
Copy
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