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1821732223
IVY J BANACH
NEW ROCHELLE, NY
NPI
1821732223
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 059270-01)
Enumeration Date
2022-04-22
Last Update Date
2022-04-28
Business Address
IVY J BANACH
175 MEMORIAL HWY
NEW ROCHELLE, NY 10801-5635
Phone number: 845-702-6810
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Mailing Address
IVY J BANACH
175 MEMORIAL HWY
NEW ROCHELLE, NY 10801-5635
Phone number: 845-702-6810
Copy
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