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1356189542
PHOENYX DESHUN LONG
BROOKLYN, NY
NPI
1356189542
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Former Name
MALENNA SAUNDERS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY P129669)
Enumeration Date
2024-07-20
Last Update Date
2024-07-20
Business Address
PHOENYX DESHUN LONG MS
1582 E 22ND ST APT 4R
BROOKLYN, NY 11210-5120
Phone number: 214-732-4776
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Mailing Address
PHOENYX DESHUN LONG MS
148 W 141ST ST APT C
NEW YORK, NY 10030-1880
Phone number: 214-732-4776
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