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1447806005
KENRICK SINCLAIR HAWTHORNE
BRONX, NY
NPI
1447806005
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 25248)
Enumeration Date
2019-08-09
Last Update Date
2020-05-06
Business Address
Mr. KENRICK SINCLAIR HAWTHORNE Advanced CASAC
1064 FRANKLIN AVE
BRONX, NY 10456-6704
Phone number: 718-764-1551
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Mailing Address
Mr. KENRICK SINCLAIR HAWTHORNE Advanced CASAC
311 E 175TH ST
BRONX, NY 10457-5848
Phone number: 718-764-1551
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