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1558041541
CECILIA FANNY GAVIGAN
ELMHURST, NY
NPI
1558041541
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 081782-1)
Enumeration Date
2023-07-24
Last Update Date
2023-07-24
Business Address
CECILIA FANNY GAVIGAN LCSW
79-01 BROADWAY, ROOM A1-25
ELMHURST, NY 11373
Phone number: 718-334-2650
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Mailing Address
CECILIA FANNY GAVIGAN LCSW
79-01 BROADWAY, ROOM A1-25
ELMHURST, NY 11373
Phone number: 718-334-2650
Copy
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