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1104414994
SARA GRACE THEA
BRONXVILLE, NY
NPI
1104414994
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 110984-01)
Enumeration Date
2021-01-06
Last Update Date
2021-01-06
Business Address
SARA GRACE THEA LMSW
31 DESMOND AVE
BRONXVILLE, NY 10708-5620
Phone number: 201-301-5134
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Mailing Address
SARA GRACE THEA LMSW
31 DESMOND AVE
BRONXVILLE, NY 10708-5620
Phone number: 201-301-5134
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