NELLIE E. LICIAGA

REGO PARK, NY
NPI1437326253
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  12366)
Enumeration Date2008-05-12
Last Update Date2008-05-12
Business Address
-- NELLIE E. LICIAGA CASAC
9729 64TH RD
REGO PARK, NY 11374-2240
Phone number: 718-896-3400
Mailing Address
-- NELLIE E. LICIAGA CASAC
520 E 142ND ST 4A
BRONX, NY 10454-2126
Phone number: 718-788-7000
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