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1518111921
CANDITA RIVERA
KINGSTON, NY
NPI
1518111921
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 21169)
Enumeration Date
2008-11-12
Last Update Date
2008-11-12
Business Address
Ms. CANDITA RIVERA CASAC
26 GROVE ST
KINGSTON, NY 12401-3334
Phone number: 845-331-1448
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Mailing Address
Ms. CANDITA RIVERA CASAC
26 GROVE ST
KINGSTON, NY 12401-3334
Phone number: 845-331-1448
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