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1265293294
DEVENA S SOUTHWELL
NEW YORK, NY
NPI
1265293294
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 38411)
Enumeration Date
2024-01-17
Last Update Date
2024-01-17
Business Address
DEVENA S SOUTHWELL CASAC-T
233 LAFAYETTE ST
NEW YORK, NY 10012-4051
Phone number: 212-431-6177
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Mailing Address
DEVENA S SOUTHWELL CASAC-T
233 LAFAYETTE ST
NEW YORK, NY 10012-4051
Phone number: 212-431-6177
Copy
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