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1316210362
JACLYN K SIMONS
MIDDLETOWN, NY
NPI
1316210362
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 26640)
Enumeration Date
2012-02-21
Last Update Date
2012-02-21
Business Address
-- JACLYN K SIMONS CASAC-T
21 CENTER ST
MIDDLETOWN, NY 10940-5704
Phone number: 845-343-7675
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Mailing Address
-- JACLYN K SIMONS CASAC-T
21 CENTER ST
MIDDLETOWN, NY 10940-5704
Phone number: 845-343-7675
Copy
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