RANDY AUGUSTEEN DESTIN

BRONX, NY
NPI1679010938
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  17516)
Enumeration Date2017-01-25
Last Update Date2017-01-25
Business Address
-- RANDY AUGUSTEEN DESTIN CASAC
1910 ARTHUR AVE
BRONX, NY 10457-6305
Phone number: 718-466-8438
Mailing Address
-- RANDY AUGUSTEEN DESTIN CASAC
1910 ARTHUR AVE
BRONX, NY 10457-6305
Phone number: 718-466-8438
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