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1083121057
MICHAEL LEONARD WARREN
BRONX, NY
NPI
1083121057
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 26181)
Enumeration Date
2017-12-29
Last Update Date
2018-06-16
Business Address
Mr. MICHAEL LEONARD WARREN
1600 MACOMBS RD
BRONX, NY 10452-2016
Phone number: 718-299-3300
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Mailing Address
Mr. MICHAEL LEONARD WARREN
15 WHITE GATE DR APT L
WAPPINGERS FALLS, NY 12590-5068
Phone number: 347-750-3564
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