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1598887978
MAURICE L. STEPHENS
JAMAICA, NY
NPI
1598887978
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 11106)
Enumeration Date
2007-04-04
Last Update Date
2007-07-08
Business Address
Mr. MAURICE L. STEPHENS CASAC
91-01 MERRICK BLVD.
JAMAICA, NY 11432
Phone number: 718-523-4242
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Mailing Address
Mr. MAURICE L. STEPHENS CASAC
11918 202ND ST
SAINT ALBANS, NY 11412-3816
Phone number: 718-525-2610
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