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Individual
GINA PELLICCI
Active
Individual
GINA PELLICCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
104633
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132793295
—
NY
Enumeration date
08/02/2018
Last updated
10/11/2018
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