VANZETTA YVONNE STALLWORTH

FAR ROCKAWAY, NY
NPI1831310424
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  12572)
Enumeration Date2007-05-01
Last Update Date2007-07-08
Business Address
Ms. VANZETTA YVONNE STALLWORTH CASAC
1329 BEACH CHANNEL DRIVE
FAR ROCKAWAY, NY 11691
Phone number: 718-337-6850
Mailing Address
Ms. VANZETTA YVONNE STALLWORTH CASAC
35 CYPRESS STREET
WYANDANCH, NY 11798
Phone number: 631-920-2464
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