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1376903484
LISA CHRISTINE VICENTE
NEW YORK, NY
NPI
1376903484
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 29072)
Enumeration Date
2016-03-02
Last Update Date
2016-03-02
Business Address
-- LISA CHRISTINE VICENTE CASAC-T
435 E 119TH ST
NEW YORK, NY 10035-3627
Phone number: 212-360-4002
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Mailing Address
-- LISA CHRISTINE VICENTE CASAC-T
435 E 119TH ST
NEW YORK, NY 10035-3627
Phone number: 212-360-4002
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