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1194903989
JOAN MILLER
PATCHOGUE, NY
NPI
1194903989
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 16930)
Enumeration Date
2008-02-05
Last Update Date
2008-02-05
Business Address
-- JOAN MILLER CASAC
365 E MAIN ST
PATCHOGUE, NY 11772-3145
Phone number: 631-852-1222
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Mailing Address
-- JOAN MILLER CASAC
365 E MAIN ST
PATCHOGUE, NY 11772-3145
Phone number: 631-852-1222
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