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1770987661
JESSICA PANGALLO
SMITHTOWN, NY
NPI
1770987661
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2014-10-21
Last Update Date
2014-10-21
Business Address
JESSICA PANGALLO M.S. CASAC
161 E MAIN ST
SMITHTOWN, NY 11787-2879
Phone number: 631-360-7578
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Mailing Address
JESSICA PANGALLO M.S. CASAC
161 E MAIN ST
SMITHTOWN, NY 11787-2879
Phone number: 631-360-7578
Copy
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