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1306545777
GLENN CUMMINS
OCEANSIDE, NY
NPI
1306545777
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-02-24
Last Update Date
2023-02-24
Business Address
GLENN CUMMINS
578 DERBY DR E
OCEANSIDE, NY 11572-2612
Phone number: 516-254-2125
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Mailing Address
GLENN CUMMINS
578 DERBY DR E
OCEANSIDE, NY 11572-2612
Phone number: 516-254-2125
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