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1164911103
BRIAN CLARKE
STATEN ISLAND, NY
NPI
1164911103
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2018-05-04
Last Update Date
2018-05-04
Business Address
BRIAN CLARKE
3911 RICHMOND AVE
STATEN ISLAND, NY 10312-5110
Phone number: 718-948-3232
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Mailing Address
BRIAN CLARKE
3911 RICHMOND AVE
STATEN ISLAND, NY 10312-5110
Phone number:
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