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1013571108
ANNA LUKIANOV
BRONX, NY
NPI
1013571108
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 099916)
Enumeration Date
2019-04-24
Last Update Date
2019-04-24
Business Address
ANNA LUKIANOV LMSW
2488 GRAND CONCOURSE RM 417
BRONX, NY 10458-5206
Phone number: 718-584-7204
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Mailing Address
ANNA LUKIANOV LMSW
2488 GRAND CONCOURSE RM 417
BRONX, NY 10458-5206
Phone number: 718-584-7204
Copy
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