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1063885671
JERMAINE MCCOLLUM
NEW YORK, NY
NPI
1063885671
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-11-04
Last Update Date
2015-11-04
Business Address
-- JERMAINE MCCOLLUM
598 BROADWAY FL 2
NEW YORK, NY 10012-3363
Phone number: 212-966-9537
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Mailing Address
-- JERMAINE MCCOLLUM
598 BROADWAY
NEW YORK, NY 10012-3351
Phone number: 718-785-7124
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