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1225402183
DAMIAN VANDENBURGH
NEW YORK, NY
NPI
1225402183
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 31626)
Enumeration Date
2015-11-16
Last Update Date
2015-11-16
Business Address
-- DAMIAN VANDENBURGH
55 W 125TH ST 11TH FLOOR
NEW YORK, NY 10027-4516
Phone number: 212-864-4128
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Mailing Address
-- DAMIAN VANDENBURGH
55 W 125TH ST 11TH FLOOR
NEW YORK, NY 10027-4516
Phone number: 212-864-4128
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