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1093168684
ETHEL SPEYERER
KEW GARDENS, NY
NPI
1093168684
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 233782)
Enumeration Date
2016-07-19
Last Update Date
2016-07-19
Business Address
-- ETHEL SPEYERER RN
8002 KEW GARDENS RD STE 704
KEW GARDENS, NY 11415-3607
Phone number: 518-952-8408
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Mailing Address
-- ETHEL SPEYERER RN
PO BOX 1188
ALBANY, NY 12201-1188
Phone number: 518-952-8408
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