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1174256911
GLEN WATSON
BRONX, NY
NPI
1174256911
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-07-08
Last Update Date
2022-07-08
Business Address
GLEN WATSON CASAC-T
764 E 176TH ST
BRONX, NY 10460-4606
Phone number: 718-542-8770
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Mailing Address
GLEN WATSON CASAC-T
1332 HERKIMER ST
BROOKLYN, NY 11233-6129
Phone number: 347-358-2723
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