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1821757055
LYNNE THEOPHANIS
BINGHAMTON, NY
NPI
1821757055
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: NY 091712)
Enumeration Date
2021-12-15
Last Update Date
2021-12-15
Business Address
LYNNE THEOPHANIS LMSW
38 RIVERSIDE DR STE 3
BINGHAMTON, NY 13905-4596
Phone number: 607-215-1705
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Mailing Address
LYNNE THEOPHANIS LMSW
225 FRONT ST
VESTAL, NY 13850-1513
Phone number: 607-321-9179
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