RYAN CASE

PORT JERVIS, NY
NPI1659917441
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  20642)
Enumeration Date2019-11-27
Last Update Date2019-11-27
Business Address
RYAN CASE casac
123 PIKE ST
PORT JERVIS, NY 12771-1824
Phone number: 845-854-7576
Mailing Address
RYAN CASE casac
123 PIKE ST
PORT JERVIS, NY 12771-1824
Phone number: 845-856-7576
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