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1154026474
JASMINE LASTRA
LONG ISLAND CITY, NY
NPI
1154026474
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 38558)
Enumeration Date
2023-04-04
Last Update Date
2023-04-04
Business Address
JASMINE LASTRA CASAC-T
2976 NORTHERN BLVD
LONG ISLAND CITY, NY 11101-2822
Phone number: 212-691-7554
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Mailing Address
JASMINE LASTRA CASAC-T
2976 NORTHERN BLVD
LONG ISLAND CITY, NY 11101-2822
Phone number: 212-691-7554
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