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1649486663
PHYLLIS KANDELL
BRONX, NY
NPI
1649486663
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 9318)
Enumeration Date
2007-05-15
Last Update Date
2007-07-08
Business Address
Ms. PHYLLIS KANDELL C.A.S.A.C.
16 WESTCHESTER SQ
BRONX, NY 10461-3513
Phone number: 718-822-1217
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Mailing Address
Ms. PHYLLIS KANDELL C.A.S.A.C.
1924 EDISON AVE
BRONX, NY 10461-4070
Phone number: 718-829-3433
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