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1487964763
MELISSA FUKA
ITHACA, NY
NPI
1487964763
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NY 079789-1)
Enumeration Date
2010-10-20
Last Update Date
2010-11-02
Business Address
MELISSA FUKA LMSW
334 W STATE ST
ITHACA, NY 14850-5432
Phone number: 607-273-5500
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Mailing Address
MELISSA FUKA LMSW
334 W STATE ST PO BOX 789
ITHACA, NY 14850-5432
Phone number: 607-273-5500
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