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1245497403
WANDA WHITEHURST
NEW YORK, NY
NPI
1245497403
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-05-16
Last Update Date
2015-11-20
Business Address
-- WANDA WHITEHURST
461 W 164TH ST
NEW YORK, NY 10032-8109
Phone number: 347-825-4882
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Mailing Address
-- WANDA WHITEHURST
461 W 164TH ST
NEW YORK, NY 10032-8109
Phone number: 347-825-4882
Copy
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