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1457104457
DANIEL MEDINA GOMES
BROOKLYN, NY
NPI
1457104457
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY CRPA-P-6037)
Enumeration Date
2024-04-09
Last Update Date
2024-04-09
Business Address
DANIEL MEDINA GOMES
1623 KINGS HWY
BROOKLYN, NY 11229-1209
Phone number: 929-273-7601
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Mailing Address
DANIEL MEDINA GOMES
1623 KINGS HWY
BROOKLYN, NY 11229-1209
Phone number: 929-273-7601
Copy
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