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1285102871
KIM STAVRACH
BROOKLYN, NY
NPI
1285102871
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2018-11-13
Last Update Date
2018-11-13
Business Address
KIM STAVRACH
1664 E 14TH ST
BROOKLYN, NY 11229-1155
Phone number: 929-273-7601
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Mailing Address
KIM STAVRACH
1664 E 14TH ST
BROOKLYN, NY 11229-1155
Phone number: 929-273-7601
Copy
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