THURSTON RANDALL

BRONX, NY
NPI1427567676
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  21943)
Enumeration Date2017-09-20
Last Update Date2017-09-20
Business Address
Mr. THURSTON RANDALL CASAC
250 GRAND CONCOURSE
BRONX, NY 10451
Phone number: 718-292-2240
Mailing Address
Mr. THURSTON RANDALL CASAC
31 LEONARD ST. SUITE 19Q
BROOKLYN, NY 11206
Phone number: 347-863-9001
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