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1518146398
VERA POLYAKOVA
VALLEY STREAM, NY
NPI
1518146398
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY R055688)
Enumeration Date
2007-10-30
Last Update Date
2007-10-30
Business Address
Ms. VERA POLYAKOVA LCSW
781 PARK LN
VALLEY STREAM, NY 11581-3640
Phone number: 516-792-0377
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Mailing Address
Ms. VERA POLYAKOVA LCSW
781 PARK LN
VALLEY STREAM, NY 11581-3640
Phone number: 516-792-0377
Copy
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