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1124269980
KENNETH WAYNE MCCRAE
BROOKLYN, NY
NPI
1124269980
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 073069-1)
Enumeration Date
2009-03-09
Last Update Date
2009-03-09
Business Address
Mr. KENNETH WAYNE MCCRAE LCSW,CASAC
415 STRATFORD RD APT 7M
BROOKLYN, NY 11218-5374
Phone number: 718-940-1145
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Mailing Address
Mr. KENNETH WAYNE MCCRAE LCSW,CASAC
937 FULTON ST
BROOKLYN, NY 11238-2347
Phone number: 718-789-2010
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