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1295314839
JULIE MODAVIS
ISLANDIA, NY
NPI
1295314839
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 091047)
Enumeration Date
2021-04-02
Last Update Date
2021-04-02
Business Address
JULIE MODAVIS LCSW
1777 VETERANS MEMORIAL HWY
ISLANDIA, NY 11749-1555
Phone number: 631-630-6439
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Mailing Address
JULIE MODAVIS LCSW
15 ELKIN DR
MIDDLE ISLAND, NY 11953-2109
Phone number: 631-707-4929
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