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1770298499
NICOLE M DONNELLY
LAKE GROVE, NY
NPI
1770298499
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: NY 072650-1)
Enumeration Date
2023-01-17
Last Update Date
2023-01-17
Business Address
NICOLE M DONNELLY
2233 NESCONSET HWY STE 104
LAKE GROVE, NY 11755-1000
Phone number: 631-737-5559
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Mailing Address
NICOLE M DONNELLY
299 HOFFMAN LN
HAUPPAUGE, NY 11788-3110
Phone number: 516-770-7343
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