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1164284345
TRACY PARKER
STATEN ISLAND, NY
NPI
1164284345
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 34714)
Enumeration Date
2024-01-24
Last Update Date
2024-01-24
Business Address
Ms. TRACY PARKER
1268 FOREST AVE
STATEN ISLAND, NY 10302-2312
Phone number: 347-647-3736
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Mailing Address
Ms. TRACY PARKER
1268 FOREST AVE
STATEN ISLAND, NY 10302-2312
Phone number: 718-981-8117
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