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1538389267
CLARENCE WILLAIMS
COMMACK, NY
NPI
1538389267
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-04-26
Last Update Date
2007-07-08
Business Address
-- CLARENCE WILLAIMS
155 INDIAN HEAD RD
COMMACK, NY 11725-2212
Phone number: 631-543-6200
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Mailing Address
-- CLARENCE WILLAIMS
1DARK HOLLOW RD. APT. 1B
PORT JEFFERSON, NY 11777
Phone number: 631-543-6200
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