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1225119555
DERRICK HUSSEY
NEW YORK, NY
NPI
1225119555
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 18980)
Enumeration Date
2006-10-17
Last Update Date
2007-07-08
Business Address
-- DERRICK HUSSEY CASACT
8 E 3RD ST 2ND FLOOR
NEW YORK, NY 10003-8908
Phone number: 212-763-0596
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Mailing Address
-- DERRICK HUSSEY CASACT
244 MADISON AVE APT 3B
NEW YORK, NY 10016-2810
Phone number: 212-681-9120
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