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1023259769
JANICE E. CLEMONS
BRONX, NY
NPI
1023259769
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
(Licence: NY 12158)
Enumeration Date
2009-03-10
Last Update Date
2009-03-10
Business Address
Ms. JANICE E. CLEMONS CASAC
321 E TREMONT AVE BRONX LEBANON HOSPITAL
BRONX, NY 10457
Phone number: 718-518-3700
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Mailing Address
Ms. JANICE E. CLEMONS CASAC
611 W 148TH ST 22
NEW YORK, NY 10031-3107
Phone number: 212-694-0668
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