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1083827448
THERESA VALERIE EADS
AMITYVILLE, NY
NPI
1083827448
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
Enumeration Date
2007-05-08
Last Update Date
2015-03-31
Business Address
MISS THERESA VALERIE EADS LMSW
400 SUNRISE HWY
AMITYVILLE, NY 11701-2508
Phone number: 631-608-5308
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Mailing Address
MISS THERESA VALERIE EADS LMSW
385 ONTARIO ST
RONKONKOMA, NY 11779-4946
Phone number: 631-806-3186
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