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1164841359
GERALD MCCLARY
DEER PARK, NY
NPI
1164841359
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 29651)
Enumeration Date
2014-04-15
Last Update Date
2014-04-15
Business Address
-- GERALD MCCLARY
770 GRAND BLVD
DEER PARK, NY 11729-5750
Phone number: 631-392-4357
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Mailing Address
-- GERALD MCCLARY
770 GRAND BLVD
DEER PARK, NY 11729-5750
Phone number: 631-392-4357
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