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1124499868
MELISSA REVELO
WOODSIDE, NY
NPI
1124499868
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 095354)
Enumeration Date
2015-10-07
Last Update Date
2015-10-07
Business Address
-- MELISSA REVELO
6207 WOODSIDE AVE 4TH FLOOR
WOODSIDE, NY 11377-3576
Phone number: 718-898-5085
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Mailing Address
-- MELISSA REVELO
6207 WOODSIDE AVE 4TH FLOOR
WOODSIDE, NY 11377-3576
Phone number: 718-898-5085
Copy
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