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1508991563
DEBBIE FASSULA
HUNTINGTON, NY
NPI
1508991563
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 070945-1)
Enumeration Date
2007-02-22
Last Update Date
2007-07-08
Business Address
-- DEBBIE FASSULA LCSW
775 PARK AVE SUITE 200-1
HUNTINGTON, NY 11743-3976
Phone number: 516-983-6299
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Mailing Address
-- DEBBIE FASSULA LCSW
25 WEST ST
NORTHPORT, NY 11768-1248
Phone number: 631-757-4353
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