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1427567676
THURSTON RANDALL
BRONX, NY
NPI
1427567676
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 21943)
Enumeration Date
2017-09-20
Last Update Date
2017-09-20
Business Address
Mr. THURSTON RANDALL CASAC
250 GRAND CONCOURSE
BRONX, NY 10451
Phone number: 718-292-2240
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Mailing Address
Mr. THURSTON RANDALL CASAC
31 LEONARD ST. SUITE 19Q
BROOKLYN, NY 11206
Phone number: 347-863-9001
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