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1760944995
NICOLE T VELAZQUEZ
ROCHESTER, NY
NPI
1760944995
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 29191)
Enumeration Date
2019-04-05
Last Update Date
2019-04-05
Business Address
NICOLE T VELAZQUEZ CASAC
81 LAKE AVE FL 2
ROCHESTER, NY 14608-1410
Phone number: 585-368-6901
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Mailing Address
NICOLE T VELAZQUEZ CASAC
81 LAKE AVE FL 2
ROCHESTER, NY 14608-1410
Phone number: 585-368-6901
Copy
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