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1003245978
CARLENE THOMAS
STATEN ISLAND, NY
NPI
1003245978
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 00115429)
Enumeration Date
2013-11-01
Last Update Date
2013-11-01
Business Address
-- CARLENE THOMAS MS Ed, CRC
267 PORT RICHMOND AVE
STATEN ISLAND, NY 10302-1704
Phone number: 718-981-8117
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Mailing Address
-- CARLENE THOMAS MS Ed, CRC
267 PORT RICHMOND AVE
STATEN ISLAND, NY 10302-1704
Phone number: 718-981-8117
Copy
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