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1114353653
THERESA CASTILLO
WOODSIDE, NY
NPI
1114353653
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2013-09-16
Last Update Date
2013-09-16
Business Address
THERESA CASTILLO MS, CASAC-T
6204 WOODSIDE AVE
WOODSIDE, NY 11377
Phone number: 718-898-5085
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Mailing Address
THERESA CASTILLO MS, CASAC-T
4404 QUEENS BLVD CONSULTATION CENTER 2 FL
SUNNYSIDE, NY 11104
Phone number: 718-898-5085
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