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1306115613
LARRY BUTLER
BROOKLYN, NY
NPI
1306115613
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 18053)
Enumeration Date
2011-12-16
Last Update Date
2011-12-16
Business Address
Mr. LARRY BUTLER CASAC
567 E 105TH ST
BROOKLYN, NY 11236-2213
Phone number: 718-307-3103
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Mailing Address
Mr. LARRY BUTLER CASAC
567 E 105TH ST
BROOKLYN, NY 11236-2213
Phone number: 718-307-3103
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