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1588802599
ELIZABETH S SANDUSKY
PATCHOGUE, NY
NPI
1588802599
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 8125)
Enumeration Date
2009-01-29
Last Update Date
2011-04-01
Business Address
Mrs. ELIZABETH S SANDUSKY CASAC
450 WAVERLY AVE
PATCHOGUE, NY 11772-1555
Phone number: 631-363-2001
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Mailing Address
Mrs. ELIZABETH S SANDUSKY CASAC
450 WAVERLY AVE
PATCHOGUE, NY 11772-1555
Phone number: 631-363-2001
Copy
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