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1538510854
FAWN CONNELLY
MIDDLETOWN, NY
NPI
1538510854
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NY 27991)
Enumeration Date
2016-06-28
Last Update Date
2016-06-28
Business Address
FAWN CONNELLY
7 RAILROAD AVE
MIDDLETOWN, NY 10940-4907
Phone number: 845-342-5941
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Mailing Address
FAWN CONNELLY
7 RAILROAD AVE
MIDDLETOWN, NY 10940-4907
Phone number:
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