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1679961239
BEVERLY WALKER
JAMAICA, NY
NPI
1679961239
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 26612)
Enumeration Date
2015-01-06
Last Update Date
2015-01-06
Business Address
-- BEVERLY WALKER CASAC-T
17515 ROCKAWAY BLVD
JAMAICA, NY 11434-5503
Phone number: 718-632-3275
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Mailing Address
-- BEVERLY WALKER CASAC-T
4442 ARTHUR KILL RD SUITE 4
STATEN ISLAND, NY 10309-1340
Phone number: 718-356-5100
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