KIM STACEY SPICCIATIE

EAST ISLIP, NY
NPI1679857262
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: NY  078707)
Enumeration Date2011-10-01
Last Update Date2012-03-02
Business Address
MRS. KIM STACEY SPICCIATIE LCSW
153 SIMMONS DR
EAST ISLIP, NY 11730-3436
Phone number: 631-859-0738
Mailing Address
MRS. KIM STACEY SPICCIATIE LCSW
153 SIMMONS DR
EAST ISLIP, NY 11730-3436
Phone number: 631-859-0738
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