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1053867937
SAMANTHA FAVARA
MIDDLETOWN, NY
NPI
1053867937
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY 007423)
Enumeration Date
2016-08-30
Last Update Date
2016-08-30
Business Address
Miss SAMANTHA FAVARA LMHC
41 DOLSON AVE
MIDDLETOWN, NY 10940-6489
Phone number: 845-342-5789
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Mailing Address
Miss SAMANTHA FAVARA LMHC
41 DOLSON AVE
MIDDLETOWN, NY 10940-6489
Phone number: 845-342-5789
Copy
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