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1205215704
PAUL ROMAN
MONTICELLO, NY
NPI
1205215704
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 24540)
Enumeration Date
2015-05-29
Last Update Date
2015-05-29
Business Address
-- PAUL ROMAN CASAC
11 HAMILTON AVE
MONTICELLO, NY 12701-1319
Phone number: 845-794-8080
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Mailing Address
-- PAUL ROMAN CASAC
11 HAMILTON AVE
MONTICELLO, NY 12701-1319
Phone number: 845-794-8080
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