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1053900860
THASIHA OWENS
VALLEY STREAM, NY
NPI
1053900860
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: NY 175T00000X)
Enumeration Date
2021-01-15
Last Update Date
2021-01-15
Business Address
THASIHA OWENS
497 ROCKAWAY AVE
VALLEY STREAM, NY 11581-1909
Phone number: 718-327-7002
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Mailing Address
THASIHA OWENS
497 ROCKAWAY AVE
VALLEY STREAM, NY 11581-1909
Phone number: 718-845-2621
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