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1235440512
STACEY A. SPATA
COMMACK, NY
NPI
1235440512
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 069919-1)
Enumeration Date
2010-07-01
Last Update Date
2010-07-01
Business Address
Ms. STACEY A. SPATA LCSW
145 COMMACK RD SUITE 1
COMMACK, NY 11725-3438
Phone number: 631-332-6152
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Mailing Address
Ms. STACEY A. SPATA LCSW
18 MERLIN LN
EAST SETAUKET, NY 11733-1719
Phone number: 631-332-6152
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