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1477818532
IVELISSE VICENTE
WEST SPRINGFIELD, MA
NPI
1477818532
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 219916)
Enumeration Date
2012-07-05
Last Update Date
2016-03-18
Business Address
-- IVELISSE VICENTE LCSW
103 MYRON ST SUITE A
WEST SPRINGFIELD, MA 01089-1598
Phone number: 413-592-1980
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Mailing Address
-- IVELISSE VICENTE LCSW
103 MYRON ST SUITE A
WEST SPRINGFIELD, MA 01089-1598
Phone number: 413-592-1980
Copy
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