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1003219569
KATRINA EDWARDS
BRONX, NY
NPI
1003219569
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 22196)
Enumeration Date
2014-09-29
Last Update Date
2014-09-29
Business Address
-- KATRINA EDWARDS CASAC
1600 MACOMBS RD
BRONX, NY 10452-2016
Phone number: 718-299-3300
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Mailing Address
-- KATRINA EDWARDS CASAC
1600 MACOMBS RD
BRONX, NY 10452-2016
Phone number: 718-299-3300
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