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1922467604
COURTNEY DEFEO
DEER PARK, NY
NPI
1922467604
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 268111)
Enumeration Date
2016-02-23
Last Update Date
2016-02-23
Business Address
-- COURTNEY DEFEO CASAC-T
770 GRAND BLVD SUITE 17
DEER PARK, NY 11729-5750
Phone number: 631-392-4357
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Mailing Address
-- COURTNEY DEFEO CASAC-T
770 GRAND BLVD SUITE 17
DEER PARK, NY 11729-5750
Phone number: 631-392-4357
Copy
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