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1003413394
JONATHAN CHARLES BANNIGAN
NEW YORK, NY
NPI
1003413394
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY P107008)
Enumeration Date
2020-10-08
Last Update Date
2020-10-08
Business Address
Mr. JONATHAN CHARLES BANNIGAN MHC-LP
260 MADISON AVE FL 8
NEW YORK, NY 10016-2418
Phone number: 212-335-0511
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Mailing Address
Mr. JONATHAN CHARLES BANNIGAN MHC-LP
176 GLENWOOD AVE APT 2R
BLOOMFIELD, NJ 07003-2346
Phone number: 315-335-0934
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