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1336740372
TOWAYNE BARTLEY
STATEN ISLAND, NY
NPI
1336740372
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 36505)
Enumeration Date
2020-11-05
Last Update Date
2020-11-05
Business Address
TOWAYNE BARTLEY
460 BRIELLE AVE BLDG H
STATEN ISLAND, NY 10314-6427
Phone number: 718-816-6589
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Mailing Address
TOWAYNE BARTLEY
460 BRIELLE AVE
STATEN ISLAND, NY 10314-6427
Phone number: 718-816-6589
Copy
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