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1275804601
JENNIFER DEFILLIPO
STATEN ISLAND, NY
NPI
1275804601
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 21190)
Enumeration Date
2012-01-17
Last Update Date
2012-01-17
Business Address
-- JENNIFER DEFILLIPO CASAC-t
263/267 PORT RICHMOND AVE.
STATEN ISLAND, NY 10302
Phone number: 718-981-8117
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Mailing Address
-- JENNIFER DEFILLIPO CASAC-t
1160 RICHMOND RD
STATEN ISLAND, NY 10304-2443
Phone number:
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