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1588044887
HAILE SELASSIE
MOUNT VERNON, NY
NPI
1588044887
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY P94860)
Enumeration Date
2015-06-02
Last Update Date
2015-06-02
Business Address
-- HAILE SELASSIE
138 S COLUMBUS AVE
MOUNT VERNON, NY 10553-1337
Phone number: 914-663-7201
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Mailing Address
-- HAILE SELASSIE
138 S COLUMBUS AVE
MOUNT VERNON, NY 10553-1337
Phone number: 646-353-8919
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