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1275760852
KYLE JAMES DITULLIO
ALBANY, NY
NPI
1275760852
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 22400)
Enumeration Date
2009-06-22
Last Update Date
2009-06-22
Business Address
Mr. KYLE JAMES DITULLIO CASAC-T
64 2ND AVE
ALBANY, NY 12202-1240
Phone number: 518-449-5170
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Mailing Address
Mr. KYLE JAMES DITULLIO CASAC-T
64 2ND AVE
ALBANY, NY 12202-1240
Phone number: 518-449-5170
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