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1558854919
VIVIAM CONSUELO RUIZ VILLALOBOS
MANHASSET, NY
NPI
1558854919
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY 008678)
Enumeration Date
2018-06-11
Last Update Date
2018-06-27
Business Address
Miss VIVIAM CONSUELO RUIZ VILLALOBOS LMHC
300 COMMUNITY DR
MANHASSET, NY 11030
Phone number: 646-506-8489
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Mailing Address
Miss VIVIAM CONSUELO RUIZ VILLALOBOS LMHC
300 COMMUNITY DR
MANHASSET, NY 11030-3816
Phone number: 646-506-8489
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