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1598074106
CARMEN VILLAVICENCIO
WOODSIDE, NY
NPI
1598074106
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 079481)
Enumeration Date
2010-09-29
Last Update Date
2012-11-09
Business Address
Mrs. CARMEN VILLAVICENCIO LCSW
4610 61ST ST
WOODSIDE, NY 11377-5766
Phone number: 917-291-1160
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Mailing Address
Mrs. CARMEN VILLAVICENCIO LCSW
4610 61ST ST
WOODSIDE, NY 11377-5766
Phone number: 917-291-1160
Copy
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