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Organization
VICALEX BEHAVIORAL HEALTH LCSW SERVICES, P.C.
Active
Organization
VICALEX BEHAVIORAL HEALTH LCSW SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDIA J OLAVE-GUILLERMO (OWNER)
(845) 364-9226
Entity
Organization
Contact information
Practice address
978 ROUTE 45, STE 200, POMONA, NY 10970-3521
(845) 364-9226
Mailing address
978 ROUTE 45, STE 200, POMONA, NY 10970-3521
(845) 364-9226
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
071579-1
NY
Other
Enumeration date
09/20/2007
Last updated
12/29/2014
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