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1215798996
SELENA MASON
BRONX, NY
NPI
1215798996
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 38491)
Enumeration Date
2024-01-19
Last Update Date
2024-01-19
Business Address
SELENA MASON casac-t
2488 GRAND CONCOURSE RM 417
BRONX, NY 10458-5206
Phone number: 718-584-7204
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Mailing Address
SELENA MASON casac-t
2488 GRAND CONCOURSE RM 417
BRONX, NY 10458-5206
Phone number: 718-584-7204
Copy
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