MARIETTA BRODHURST

JAMAICA, NY
NPI1265511646
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  013047)
Enumeration Date2006-11-04
Last Update Date2007-07-08
Business Address
-- MARIETTA BRODHURST CASAC
8268 164TH ST
JAMAICA, NY 11432-1121
Phone number: 718-883-3225
Mailing Address
-- MARIETTA BRODHURST CASAC
7901 BROADWAY MANAGED CARE, D1-01
ELMHURST, NY 11373-1329
Phone number: 718-334-1921
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