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1306312715
MARISA LEE YOUNG
GLOVERSVILLE, NY
NPI
1306312715
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-10-23
Last Update Date
2018-10-23
Business Address
MARISA LEE YOUNG
11-21 BROADWAY ST
GLOVERSVILLE, NY 12078-3968
Phone number: 518-725-4310
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Mailing Address
MARISA LEE YOUNG
11-21 BROADWAY ST
GLOVERSVILLE, NY 12078-3964
Phone number:
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