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1356891683
LAMONT RIVERS
BRONX, NY
NPI
1356891683
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 29381)
Enumeration Date
2016-10-11
Last Update Date
2016-10-11
Business Address
-- LAMONT RIVERS 29381 CASAC-T
69 W 225TH ST APT 3D
BRONX, NY 10463-7005
Phone number: 347-502-9772
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Mailing Address
-- LAMONT RIVERS 29381 CASAC-T
69 W 225TH ST
BRONX, NY 10463-7004
Phone number:
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