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1083058689
MARY ELLEN SUMMERVILLE
WHITE PLAINS, NY
NPI
1083058689
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY R039357-1)
Enumeration Date
2013-04-25
Last Update Date
2014-02-03
Business Address
Ms. MARY ELLEN SUMMERVILLE LCSW
39 N BROADWAY FRMH
WHITE PLAINS, NY 10601-1602
Phone number: 914-684-6102
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Mailing Address
Ms. MARY ELLEN SUMMERVILLE LCSW
70 BEDFORD RD FRMH
PLEASANTVILLE, NY 10570-1610
Phone number: 914-980-7170
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