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1013528512
KOLY J. GUILAVOGUI
BRONX, NY
NPI
1013528512
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 31698-T)
Enumeration Date
2020-08-10
Last Update Date
2020-08-10
Business Address
Mr. KOLY J. GUILAVOGUI CASAC-T
770 E 176TH ST STE 315
BRONX, NY 10460-4617
Phone number: 718-583-5150
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Mailing Address
Mr. KOLY J. GUILAVOGUI CASAC-T
770 E 176TH ST
BRONX, NY 10460-4617
Phone number: 718-583-5150
Copy
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