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1467036616
LEONARDO DE JESUS BERROA
MIDDLETOWN, NY
NPI
1467036616
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 35808)
Enumeration Date
2021-05-12
Last Update Date
2021-05-12
Business Address
Mr. LEONARDO DE JESUS BERROA CASAC-T
7 RAILROAD AVE
MIDDLETOWN, NY 10940-4907
Phone number: 845-342-5941
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Mailing Address
Mr. LEONARDO DE JESUS BERROA CASAC-T
7 RAILROAD AVE
MIDDLETOWN, NY 10940-4907
Phone number: 845-342-5941
Copy
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