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1093019861
WILLIE J MATTHIAS
NEW YORK, NY
NPI
1093019861
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 17858)
Enumeration Date
2011-01-07
Last Update Date
2011-01-07
Business Address
-- WILLIE J MATTHIAS CASAC
116 JOHN ST
NEW YORK, NY 10038-3300
Phone number: 212-964-0128
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Mailing Address
-- WILLIE J MATTHIAS CASAC
116 JOHN ST
NEW YORK, NY 10038-3300
Phone number: 212-964-0128
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