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1548049141
VICKIE LISA MISHOULAM
JAMAICA, NY
NPI
1548049141
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: NY 120173)
Enumeration Date
2023-09-25
Last Update Date
2023-09-25
Business Address
Ms. VICKIE LISA MISHOULAM LMSW
8883 VAN WYCK EXPY
JAMAICA, NY 11435-4144
Phone number: 917-428-0971
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Mailing Address
Ms. VICKIE LISA MISHOULAM LMSW
7840 164TH ST APT 2K
FRESH MEADOWS, NY 11366-1209
Phone number: 917-428-0871
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