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1114165883
NATALIE LANE
BRONX, NY
NPI
1114165883
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 11930)
Enumeration Date
2009-02-03
Last Update Date
2009-02-03
Business Address
-- NATALIE LANE
1276 FULTON AVE
BRONX, NY 10456-3402
Phone number: 718-901-8747
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Mailing Address
-- NATALIE LANE
1276 FULTON AVE
BRONX, NY 10456-3402
Phone number:
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