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1093118614
ILYA STEPHANO
NEW YORK, NY
NPI
1093118614
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 73 078609)
Enumeration Date
2014-09-28
Last Update Date
2014-09-28
Business Address
-- ILYA STEPHANO LCSW
333 E 49TH ST APT LK
NEW YORK, NY 10017-1626
Phone number: 917-463-0047
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Mailing Address
-- ILYA STEPHANO LCSW
333 E 49TH ST APT LK
NEW YORK, NY 10017-1626
Phone number:
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