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1417449935
ROSSELL LOUIS LACEY
NEWBURGH, NY
NPI
1417449935
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 33454)
Enumeration Date
2018-05-31
Last Update Date
2018-05-31
Business Address
Mr. ROSSELL LOUIS LACEY CASAC-T
172 LIBERTY ST
NEWBURGH, NY 12550-4912
Phone number: 845-342-5941
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Mailing Address
Mr. ROSSELL LOUIS LACEY CASAC-T
172 LIBERTY ST
NEWBURGH, NY 12550-4912
Phone number: 845-342-5941
Copy
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