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1104393289
NICOLE INTERVALLO
YONKERS, NY
NPI
1104393289
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-10-27
Last Update Date
2020-11-08
Business Address
NICOLE INTERVALLO casac
2176 CENTRAL PARK AVE
YONKERS, NY 10710-1826
Phone number: 914-619-5242
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Mailing Address
NICOLE INTERVALLO casac
PO BOX 356
YONKERS, NY 10710-0356
Phone number:
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