THEODORE RENWICK

NEW YORK, NY
NPI1497045157
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  25845)
Enumeration Date2011-04-15
Last Update Date2011-04-15
Business Address
-- THEODORE RENWICK CASAC-T
116 JOHN ST FL 27
NEW YORK, NY 10038-3414
Phone number: 212-964-0128
Mailing Address
-- THEODORE RENWICK CASAC-T
116 JOHN ST FL 27
NEW YORK, NY 10038-3414
Phone number: 212-964-0128
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