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1043502313
STACY CANGELOSI MIKE
ITHACA, NY
NPI
1043502313
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 081566)
Enumeration Date
2011-05-05
Last Update Date
2011-05-05
Business Address
-- STACY CANGELOSI MIKE LMSW
201 E GREEN ST SUITE 500
ITHACA, NY 14850-5635
Phone number: 607-274-6288
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Mailing Address
-- STACY CANGELOSI MIKE LMSW
201 E GREEN ST SUITE 500
ITHACA, NY 14850-5635
Phone number: 607-274-6288
Copy
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