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1942619812
STEPHANIE GASPARO
COMMACK, NY
NPI
1942619812
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NY 30211)
Enumeration Date
2014-08-05
Last Update Date
2014-08-05
Business Address
STEPHANIE GASPARO
155 INDIAN HEAD RD
COMMACK, NY 11725-2212
Phone number: 631-543-6200
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Mailing Address
STEPHANIE GASPARO
195 LAKELAND AVE APT. 1A
SAYVILLE, NY 11782-1941
Phone number: 631-543-6200
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