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1518672336
GEORGIA GRACE FAIR
NEW YORK, NY
NPI
1518672336
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 118222)
Enumeration Date
2023-01-16
Last Update Date
2023-01-16
Business Address
GEORGIA GRACE FAIR
184 ELDRIDGE ST
NEW YORK, NY 10002-2992
Phone number: 254-744-9918
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Mailing Address
GEORGIA GRACE FAIR
200 WATER ST APT 328
NEW YORK, NY 10038-3608
Phone number: 254-744-9918
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