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1134534373
PRETHADAWN JACK
BROOKLYN, NY
NPI
1134534373
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY 270311)
Enumeration Date
2014-06-26
Last Update Date
2014-06-26
Business Address
-- PRETHADAWN JACK
1911 BERGEN ST
BROOKLYN, NY 11233-4602
Phone number: 718-495-6862
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Mailing Address
-- PRETHADAWN JACK
1911 BERGEN ST
BROOKLYN, NY 11233-4602
Phone number: 718-495-6862
Copy
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