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1053863506
VANESSA HENDRICKSON
ITHACA, NY
NPI
1053863506
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-11-01
Last Update Date
2016-11-01
Business Address
-- VANESSA HENDRICKSON
201 E GREEN ST STE 500
ITHACA, NY 14850-5635
Phone number: 607-274-6288
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Mailing Address
-- VANESSA HENDRICKSON
201 E GREEN ST STE 500
ITHACA, NY 14850-5635
Phone number:
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