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1417588906
STEPHANIE GUEVARA
BAY SHORE, NY
NPI
1417588906
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2020-02-03
Last Update Date
2020-02-03
Business Address
MS. STEPHANIE GUEVARA
1444 5TH AVE
BAY SHORE, NY 11706-4147
Phone number: 631-647-3100
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Mailing Address
MS. STEPHANIE GUEVARA
2 HOLBROOK ST
BAY SHORE, NY 11706-4117
Phone number: 631-235-3695
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