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1316250160
DAMARIS ALICEA
BRONX, NY
NPI
1316250160
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-07-22
Last Update Date
2010-07-22
Business Address
-- DAMARIS ALICEA
260 EAST 161ST STREET MOT
BRONX, NY 10452
Phone number: 718-993-3397
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Mailing Address
-- DAMARIS ALICEA
75 W 238TH ST # STREET7K
BRONX, NY 10463-4239
Phone number: 718-543-2653
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