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1306222369
SANDRA CARRASQUILLO
BRONX, NY
NPI
1306222369
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-07-31
Last Update Date
2015-07-31
Business Address
-- SANDRA CARRASQUILLO
488 E 164TH ST
BRONX, NY 10456-6620
Phone number: 646-224-0448
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Mailing Address
-- SANDRA CARRASQUILLO
1776 CLAY AVE
BRONX, NY 10457-7239
Phone number: 347-649-3022
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