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1588981542
CHARLES CLARK
BROOKLYN, NY
NPI
1588981542
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 17173)
Enumeration Date
2010-04-29
Last Update Date
2010-04-29
Business Address
-- CHARLES CLARK CASAC
2640 PITKIN AVE
BROOKLYN, NY 11208-2629
Phone number: 718-827-8700
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Mailing Address
-- CHARLES CLARK CASAC
2640 PITKIN AVE
BROOKLYN, NY 11208-2629
Phone number: 718-827-8700
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