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1487317111
VIVEN RENARD REID
BRONX, NY
NPI
1487317111
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY 0000000)
Enumeration Date
2021-10-19
Last Update Date
2021-10-19
Business Address
VIVEN RENARD REID
41D EDGEWATER PARK
BRONX, NY 10465-3509
Phone number: 914-662-7301
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Mailing Address
VIVEN RENARD REID
358 NEPPERHAN AVE
YONKERS, NY 10701-6524
Phone number: 914-843-3079
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