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Individual
TANYA EVANS-DEVITA
Active
Individual
TANYA EVANS-DEVITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
72 093705
NY
Other
Enumeration date
01/05/2016
Last updated
01/05/2016
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