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1386089365
AVIVIT WOLLY
STATEN ISLAND, NY
NPI
1386089365
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2013-05-06
Last Update Date
2013-05-06
Business Address
AVIVIT WOLLY
694 MAGUIRE AVE
STATEN ISLAND, NY 10309-1661
Phone number: 917-674-5981
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Mailing Address
AVIVIT WOLLY
694 MAGUIRE AVE
STATEN ISLAND, NY 10309-1661
Phone number: 917-674-5981
Copy
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