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1659998045
LATEEF AKEREDOLU
STATEN ISLAND, NY
NPI
1659998045
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-07-01
Last Update Date
2020-07-01
Business Address
LATEEF AKEREDOLU CASAC-T
1268 FOREST AVE
STATEN ISLAND, NY 10302-2312
Phone number: 718-981-8117
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Mailing Address
LATEEF AKEREDOLU CASAC-T
37 ARCADIA PL APT 1C
STATEN ISLAND, NY 10310-2273
Phone number: 917-756-7621
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