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1861120628
COAST TO COAST LCSW PLLC
ITHACA, NY
NPI
1861120628
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Entity Type
Organization
Authorized Contact
JULIE ANN TATOWICZ
Owner
607-319-3036
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2022-08-10
Last Update Date
2022-08-10
Business Address
COAST TO COAST LCSW PLLC
208 N MEADOW ST UNIT 2
ITHACA, NY 14850-4027
Phone number: 607-319-3036
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Mailing Address
COAST TO COAST LCSW PLLC
PO BOX 4804
ITHACA, NY 14852-4804
Phone number: 607-319-3036
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