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1356066427
ANTOINETTE SMIDTH
BRONX, NY
NPI
1356066427
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 3677)
Enumeration Date
2022-10-11
Last Update Date
2022-10-11
Business Address
ANTOINETTE SMIDTH
764 E 176TH ST
BRONX, NY 10460-4606
Phone number: 718-542-8770
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Mailing Address
ANTOINETTE SMIDTH
1790 CLINTON AVE APT 3B
BRONX, NY 10457-6753
Phone number: 718-542-8770
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