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1437344967
MELISSA R WIGFALL
JAMAICA, NY
NPI
1437344967
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 17133)
Enumeration Date
2007-09-07
Last Update Date
2007-09-07
Business Address
Ms. MELISSA R WIGFALL CASAC
8956 162ND ST FL 3
JAMAICA, NY 11432-5072
Phone number: 718-297-8000
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Mailing Address
Ms. MELISSA R WIGFALL CASAC
9741 109TH ST APT 4
SOUTH RICHMOND HILL, NY 11419-1012
Phone number: 917-279-3473
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