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1538324769
LYDIA MORALES
BRONX, NY
NPI
1538324769
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 12424)
Enumeration Date
2008-07-28
Last Update Date
2008-07-28
Business Address
-- LYDIA MORALES CASAC
3584 JEROME AVE.
BRONX, NY 10467
Phone number: 718-653-1537
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Mailing Address
-- LYDIA MORALES CASAC
PO BOX 31094
HARTFORD, CT 06150-1094
Phone number: 518-952-8140
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