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1548567712
MARIE JADOS STANISH
PORT JERVIS, NY
NPI
1548567712
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NY 082518)
Enumeration Date
2011-02-23
Last Update Date
2011-02-23
Business Address
MARIE JADOS STANISH LMSW
17-19 SUSSEX STREET
PORT JERVIS, NY 12771
Phone number: 845-856-6344
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Mailing Address
MARIE JADOS STANISH LMSW
17-19 SUSSEX STREET
PORT JERVIS, NY 12771
Phone number: 845-856-6344
Copy
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