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1922122472
DERITH ELLEN VANETTEN
FLUSHING, NY
NPI
1922122472
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY 000820-1)
Enumeration Date
2007-03-19
Last Update Date
2007-07-08
Business Address
Mrs. DERITH ELLEN VANETTEN LMHC
14210 SANFORD AVE
FLUSHING, NY 11355-2577
Phone number: 718-463-4613
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Mailing Address
Mrs. DERITH ELLEN VANETTEN LMHC
4656 160TH ST # 2
FLUSHING, NY 11358-3633
Phone number: 718-353-1492
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