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1396194866
CHAQUONA WOOD
BRONX, NY
NPI
1396194866
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NY 170711466)
Enumeration Date
2016-06-06
Last Update Date
2016-06-06
Business Address
CHAQUONA WOOD
2488 GRAND CONCRS
BRONX, NY 10458-5203
Phone number: 718-584-7204
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Mailing Address
CHAQUONA WOOD
2488 GRAND CONCRS
BRONX, NY 10458-5203
Phone number: 718-584-7204
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