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1003665829
WILFREDO MALE CORREA
DEER PARK, NY
NPI
1003665829
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY CRPA-5781)
Enumeration Date
2024-05-14
Last Update Date
2024-05-14
Business Address
WILFREDO MALE CORREA CRPA
770 GRAND BLVD STE 17
DEER PARK, NY 11729-5725
Phone number: 631-392-4357
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Mailing Address
WILFREDO MALE CORREA CRPA
220 FAIRVIEW CIR
MIDDLE ISLAND, NY 11953-2353
Phone number: 347-584-3565
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