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1538327663
GLORIA LORRAINE FAITHEAD
HAUPPAUGE, NY
NPI
1538327663
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 11889)
Enumeration Date
2008-05-27
Last Update Date
2008-05-27
Business Address
Ms. GLORIA LORRAINE FAITHEAD casac
SUFFOLK COUNTY DEPARTMENT OF HEALTH DAY REPORTING CENTER N COUNTY COMPLEX BLDG#16
HAUPPAUGE, NY 11788
Phone number: 631-853-6277
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Mailing Address
Ms. GLORIA LORRAINE FAITHEAD casac
334 LAKELAND AVE APT 4G
SAYVILLE, NY 11782-1930
Phone number: 631-750-5086
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