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1205863800
CAROLL ANN REVAK
ROCHESTER, NY
NPI
1205863800
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: NY 007402-1)
Enumeration Date
2006-06-27
Last Update Date
2007-07-08
Business Address
Dr. CAROLL ANN REVAK Ph.D.
1 SAREDON PL SUITE 300
ROCHESTER, NY 14606-4070
Phone number: 585-426-8460
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Mailing Address
Dr. CAROLL ANN REVAK Ph.D.
1 SAREDON PL SUITE 300
ROCHESTER, NY 14606-4070
Phone number: 585-426-8460
Copy
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