KENNETH SALLY

NEW YORK, NY
NPI1336532803
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  28611)
Enumeration Date2015-03-09
Last Update Date2015-03-09
Business Address
-- KENNETH SALLY CASAC-T
55 W 125TH ST 11TH FLOOR
NEW YORK, NY 10027-4516
Phone number: 212-864-4128
Mailing Address
-- KENNETH SALLY CASAC-T
55 W 125TH ST 11TH FLOOR
NEW YORK, NY 10027-4516
Phone number: 212-864-4128
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