SHAWN EDMONTSON

NEW YORK, NY
NPI1225485345
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  31064)
Enumeration Date2016-05-18
Last Update Date2016-05-18
Business Address
Mr. SHAWN EDMONTSON Casac-T
2367-69 SECOND AVENUE
NEW YORK, NY 10035
Phone number: 212-876-2300
Mailing Address
Mr. SHAWN EDMONTSON Casac-T
70 MALCOLM X BLVD APT. 11J
NEW YORK, NY 10026-3001
Phone number: 212-876-2300
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