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1033533260
JOANNE MACKEN
AMITYVILLE, NY
NPI
1033533260
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 19670)
Enumeration Date
2014-02-07
Last Update Date
2014-02-07
Business Address
Mrs. JOANNE MACKEN casac
37 JOHN ST
AMITYVILLE, NY 11701-2930
Phone number: 631-424-2900
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Mailing Address
Mrs. JOANNE MACKEN casac
37 JOHN ST
AMITYVILLE, NY 11701-2930
Phone number: 631-424-2900
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