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1184709958
DIANA KEARNS
JAMAICA, NY
NPI
1184709958
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 016661)
Enumeration Date
2006-10-27
Last Update Date
2007-07-08
Business Address
Ms. DIANA KEARNS CASAC
8268 164TH ST
JAMAICA, NY 11432-1121
Phone number: 718-883-3225
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Mailing Address
Ms. DIANA KEARNS CASAC
7901 BROADWAY MANAGED CARE, D1-01
ELMHURST, NY 11373-1329
Phone number: 718-334-1921
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