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1285021956
WILLIAM GONZALEZ
BRONX, NY
NPI
1285021956
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-04-21
Last Update Date
2015-04-21
Business Address
-- WILLIAM GONZALEZ
2488 GRAND CONCOURSE RM 417
BRONX, NY 10458-5206
Phone number: 718-584-7204
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Mailing Address
-- WILLIAM GONZALEZ
2488 GRAND CONCOURSE RM 417
BRONX, NY 10458-5206
Phone number: 718-584-7204
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