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1912294877
GLORIA J PERRY
PATCHOGUE, NY
NPI
1912294877
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 19704)
Enumeration Date
2011-06-29
Last Update Date
2011-06-29
Business Address
-- GLORIA J PERRY CASAC-T
234 RIVER AVE APT 91
PATCHOGUE, NY 11772-3356
Phone number: 631-334-4953
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Mailing Address
-- GLORIA J PERRY CASAC-T
234 RIVER AVE APT 91
PATCHOGUE, NY 11772-3356
Phone number: 631-334-4953
Copy
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