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1063678555
NICHOLAS ERNESTO OUTEDA
ELMHURST, NY
NPI
1063678555
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY 000758-1)
Enumeration Date
2008-08-04
Last Update Date
2010-10-08
Business Address
-- NICHOLAS ERNESTO OUTEDA LMHC
4130 75TH ST
ELMHURST, NY 11373-1852
Phone number: 347-423-4548
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Mailing Address
-- NICHOLAS ERNESTO OUTEDA LMHC
2046 SEAGIRT BLVD APT 5F
FAR ROCKAWAY, NY 11691-5950
Phone number: 718-868-0515
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