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1124411475
CAROLYN VELLA
PATCHOGUE, NY
NPI
1124411475
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 25032)
Enumeration Date
2015-03-11
Last Update Date
2015-03-11
Business Address
-- CAROLYN VELLA CASAC
475 E MAIN ST
PATCHOGUE, NY 11772-3121
Phone number: 631-569-7266
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Mailing Address
-- CAROLYN VELLA CASAC
98 PINE ST
PATCHOGUE, NY 11772-1019
Phone number: 631-758-2538
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