JACQUELINE M JAQUEZ

BRONX, NY
NPI1427676246
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  36299)
Enumeration Date2020-07-08
Last Update Date2020-07-08
Business Address
JACQUELINE M JAQUEZ CASAC-T
770 E 176TH ST
BRONX, NY 10460-4617
Phone number: 718-583-5150
Mailing Address
JACQUELINE M JAQUEZ CASAC-T
770 E 176TH ST
BRONX, NY 10460-4617
Phone number: 718-583-5150
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