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1275910457
CANDICE JARVIS
AMITYVILLE, NY
NPI
1275910457
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: NY R055452-1)
Enumeration Date
2015-04-27
Last Update Date
2015-04-27
Business Address
CANDICE JARVIS LCSW-R
615 BROADWAY APT 31
AMITYVILLE, NY 11701-2140
Phone number: 631-532-5453
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Mailing Address
CANDICE JARVIS LCSW-R
615 BROADWAY APT 31
AMITYVILLE, NY 11701-2140
Phone number: 631-532-5453
Copy
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