TYRRELL CARBURY

BRONX, NY
NPI1558759936
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  26470)
Enumeration Date2015-01-07
Last Update Date2015-01-07
Business Address
-- TYRRELL CARBURY CASAC-T
946 E 211TH ST
BRONX, NY 10469-1108
Phone number: 718-547-0133
Mailing Address
-- TYRRELL CARBURY CASAC-T
946 E 211TH ST
BRONX, NY 10469-1108
Phone number: 718-547-0133
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