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1407208663
ACANTHUS NICOLE FAIRLEY
BROOKLYN, NY
NPI
1407208663
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: NY 0906130)
Enumeration Date
2016-07-12
Last Update Date
2016-07-12
Business Address
-- ACANTHUS NICOLE FAIRLEY LMSW
1334 EASTERN PKWY APT 2E
BROOKLYN, NY 11233-5275
Phone number: 631-505-2563
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Mailing Address
-- ACANTHUS NICOLE FAIRLEY LMSW
1334 EASTERN PKWY APT 2E
BROOKLYN, NY 11233-5275
Phone number: 631-505-2563
Copy
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