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1497045157
THEODORE RENWICK
NEW YORK, NY
NPI
1497045157
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 25845)
Enumeration Date
2011-04-15
Last Update Date
2011-04-15
Business Address
-- THEODORE RENWICK CASAC-T
116 JOHN ST FL 27
NEW YORK, NY 10038-3414
Phone number: 212-964-0128
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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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