NIKKI LANCLOS

WEST BABYLON, NY
NPI1922414572
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  24809)
Enumeration Date2014-07-03
Last Update Date2014-07-03
Business Address
-- NIKKI LANCLOS CASAC-T
165 FULTON STREET
WEST BABYLON, NY 11704
Phone number: 631-258-2904
Mailing Address
-- NIKKI LANCLOS CASAC-T
165 FULTON ST
WEST BABYLON, NY 11704-2037
Phone number: 631-258-2904
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