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1578059119
JACLYN BRECKWOLDT
NEW YORK, NY
NPI
1578059119
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-07-06
Last Update Date
2018-07-06
Business Address
JACLYN BRECKWOLDT
119 W 124TH ST
NEW YORK, NY 10027-4920
Phone number: 718-260-2900
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Mailing Address
JACLYN BRECKWOLDT
22 CHAPEL ST
BROOKLYN, NY 11201-1903
Phone number:
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