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1215064191
TROY WAYNE JUNE
BROOKLYN, NY
NPI
1215064191
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 20756)
Enumeration Date
2007-02-27
Last Update Date
2007-07-08
Business Address
-- TROY WAYNE JUNE casac-t
689 MYRTLE AVE APT 1D
BROOKLYN, NY 11205-3988
Phone number: 718-852-3569
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Mailing Address
-- TROY WAYNE JUNE casac-t
689 MYRTLE AVE APT 1D
BROOKLYN, NY 11205-3988
Phone number: 718-852-3569
Copy
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