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1811586795
IVELISSE ROMAN
MIDDLETOWN, NY
NPI
1811586795
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-01-14
Last Update Date
2021-01-14
Business Address
IVELISSE ROMAN
15 FORTUNE RD W
MIDDLETOWN, NY 10941-1625
Phone number: 845-673-7123
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Mailing Address
IVELISSE ROMAN
15 FORTUNE RD W
MIDDLETOWN, NY 10941-1625
Phone number: 845-673-7123
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