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1275989980
STACEY DAYMARA VILLETA
NEW YORK, NY
NPI
1275989980
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY P95984)
Enumeration Date
2016-05-11
Last Update Date
2016-05-11
Business Address
-- STACEY DAYMARA VILLETA MHC
590 AVENUE OF THE AMERICAS FL 7
NEW YORK, NY 10011-2022
Phone number: 646-784-5110
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Mailing Address
-- STACEY DAYMARA VILLETA MHC
15 SICKLES ST APT 2C
NEW YORK, NY 10040-1641
Phone number: 917-515-4748
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