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1104551951
KENNETH JOSEPH RORKE
STATEN ISLAND, NY
NPI
1104551951
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 33239)
Enumeration Date
2022-07-17
Last Update Date
2022-07-17
Business Address
Mr. KENNETH JOSEPH RORKE CASAC-T
273 HEBERTON AVE
STATEN ISLAND, NY 10302-1809
Phone number: 718-412-3000
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Mailing Address
Mr. KENNETH JOSEPH RORKE CASAC-T
273 HEBERTON AVE
STATEN ISLAND, NY 10302-1809
Phone number: 718-412-3000
Copy
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