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1790836070
GINA MARIE FATTIBENE
RIVERHEAD, NY
NPI
1790836070
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 0719131)
Enumeration Date
2007-01-15
Last Update Date
2009-08-06
Business Address
-- GINA MARIE FATTIBENE LCSW
1380 ROANOKE AVE SUITE 201
RIVERHEAD, NY 11901-2098
Phone number: 631-369-4418
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Mailing Address
-- GINA MARIE FATTIBENE LCSW
98 WOODLAWN AVE
SAINT JAMES, NY 11780-2506
Phone number: 631-369-4418
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