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1386935815
DEMETRICE ANNETTE CRIDER
BROOKLYN, NY
NPI
1386935815
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
(Licence: NY 63015112)
Enumeration Date
2011-05-02
Last Update Date
2011-05-02
Business Address
DEMETRICE ANNETTE CRIDER
539 RALPH AVE
BROOKLYN, NY 11233-4903
Phone number: 646-387-3025
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Mailing Address
DEMETRICE ANNETTE CRIDER
539 RALPH AVE
BROOKLYN, NY 11233-4903
Phone number: 646-387-3025
Copy
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