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1285975631
DIANE VAILLANCOURT
BROOKLYN, NY
NPI
1285975631
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
Enumeration Date
2013-03-11
Last Update Date
2013-03-11
Business Address
-- DIANE VAILLANCOURT MA
2857 LINDEN BLVD
BROOKLYN, NY 11208-5126
Phone number: 718-235-3100
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Mailing Address
-- DIANE VAILLANCOURT MA
21 NIEMAN AVE
LYNBROOK, NY 11563-2057
Phone number: 516-887-4529
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