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1275892804
AMANDA J. BEVACQUA
CARMEL, NY
NPI
1275892804
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 2545)
Enumeration Date
2012-05-16
Last Update Date
2012-05-16
Business Address
-- AMANDA J. BEVACQUA CASAC
1808 ROUTE 6
CARMEL, NY 10512-2356
Phone number: 845-225-2700
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Mailing Address
-- AMANDA J. BEVACQUA CASAC
1808 ROUTE 6
CARMEL, NY 10512-2356
Phone number: 845-225-2700
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