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1598451841
NICHOLE C DELAVEGA
PORT JERVIS, NY
NPI
1598451841
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 095110)
Enumeration Date
2023-04-11
Last Update Date
2023-04-20
Business Address
NICHOLE C DELAVEGA
146 PIKE ST
PORT JERVIS, NY 12771-1808
Phone number: 845-858-1456
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Mailing Address
NICHOLE C DELAVEGA
165 LATTINTOWN RD LOT 83
NEWBURGH, NY 12550-1091
Phone number: 518-567-7438
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