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1780025130
MELISSA ANNE FAVALORO
SMITHTOWN, NY
NPI
1780025130
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 72089270)
Enumeration Date
2013-07-15
Last Update Date
2024-07-25
Business Address
Ms. MELISSA ANNE FAVALORO LCSW
811 W JERICHO TPKE STE 203E
SMITHTOWN, NY 11787-3220
Phone number: 631-375-9308
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Mailing Address
Ms. MELISSA ANNE FAVALORO LCSW
301 KENSINGTON CT
COPIAGUE, NY 11726-4524
Phone number: 631-375-9308
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