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1225485345
SHAWN EDMONTSON
NEW YORK, NY
NPI
1225485345
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 31064)
Enumeration Date
2016-05-18
Last Update Date
2016-05-18
Business Address
Mr. SHAWN EDMONTSON Casac-T
2367-69 SECOND AVENUE
NEW YORK, NY 10035
Phone number: 212-876-2300
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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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