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1871898668
GINA DEFALCO
MASSAPEQUA, NY
NPI
1871898668
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: NY 073927-1)
Enumeration Date
2011-01-25
Last Update Date
2011-01-25
Business Address
Mrs. GINA DEFALCO LMSW
229 N PINE ST
MASSAPEQUA, NY 11758-2812
Phone number: 516-528-5822
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Mailing Address
Mrs. GINA DEFALCO LMSW
229 N PINE ST
MASSAPEQUA, NY 11758-2812
Phone number: 516-528-5822
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