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1003246307
JEREMY THOMPSON
MOUNT VERNON, NY
NPI
1003246307
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 419456309)
Enumeration Date
2013-11-22
Last Update Date
2013-11-22
Business Address
-- JEREMY THOMPSON
54 S 3RD AVE
MOUNT VERNON, NY 10550-3303
Phone number: 914-664-4042
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Mailing Address
-- JEREMY THOMPSON
902 FAIRWAY GRN
MAMARONECK, NY 10543-4325
Phone number: 914-523-6659
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