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1134609548
MARISSA ROSE TAVELLA
NEW YORK, NY
NPI
1134609548
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: NY 103372-1)
Enumeration Date
2018-08-15
Last Update Date
2018-08-15
Business Address
Miss MARISSA ROSE TAVELLA LMSW
116 W 32ND ST FL 8
NEW YORK, NY 10001-3212
Phone number: 212-564-2350
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Mailing Address
Miss MARISSA ROSE TAVELLA LMSW
64 MCARTHUR LN
SMITHTOWN, NY 11787-3935
Phone number: 631-459-7578
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