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1922278837
JANE A. FONSECA
POUGHKEEPSIE, NY
NPI
1922278837
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 1688)
Enumeration Date
2008-03-06
Last Update Date
2008-03-06
Business Address
-- JANE A. FONSECA Casac
82 WASHINGTON ST
POUGHKEEPSIE, NY 12601-2388
Phone number: 845-486-3680
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Mailing Address
-- JANE A. FONSECA Casac
8 GREENLAWN DR
PAWLING, NY 12564-1419
Phone number: 845-855-3564
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