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1508498718
MICAH BREWER
BRONX, NY
NPI
1508498718
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-02-05
Last Update Date
2020-02-05
Business Address
MICAH BREWER
2488 GRAND CONCOURSE
BRONX, NY 10458-5203
Phone number: 718-584-7204
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Mailing Address
MICAH BREWER
2488 GRAND CONCOURSE
BRONX, NY 10458-5203
Phone number: 718-584-7204
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