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1346784691
TERRY GRAYTON
STATEN ISLAND, NY
NPI
1346784691
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 26767)
Enumeration Date
2016-12-06
Last Update Date
2016-12-06
Business Address
-- TERRY GRAYTON CASAC 26767
460 BRIELLE AVE
STATEN ISLAND, NY 10314-6427
Phone number: 718-816-6589
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Mailing Address
-- TERRY GRAYTON CASAC 26767
460 BRIELLE AVE
STATEN ISLAND, NY 10314-6427
Phone number: 718-816-6589
Copy
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