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1225145154
VIVIAN ELIZABETH BUGAOAN
NORTHPORT, NY
NPI
1225145154
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY R013996-1)
Enumeration Date
2006-08-24
Last Update Date
2007-07-08
Business Address
Ms. VIVIAN ELIZABETH BUGAOAN LCSW
79 MIDDLEVILLE RD VAMC SWS NORTHPORT (122)
NORTHPORT, NY 11768-2200
Phone number: 631-261-4400
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Mailing Address
Ms. VIVIAN ELIZABETH BUGAOAN LCSW
111 S BAY DR
MASSAPEQUA, NY 11758-8411
Phone number: 516-541-9691
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