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1740830710
ALESYA NAZAROVA
ITHACA, NY
NPI
1740830710
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: NY 023376-01)
Enumeration Date
2019-09-12
Last Update Date
2019-09-12
Business Address
ALESYA NAZAROVA PsyD
171 E STATE ST APT 227
ITHACA, NY 14850-5566
Phone number: 310-227-9061
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Mailing Address
ALESYA NAZAROVA PsyD
171 E STATE ST APT 227
ITHACA, NY 14850-5566
Phone number: 310-227-9061
Copy
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