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1689116865
BRIANNA MAZZULLO
STATEN ISLAND, NY
NPI
1689116865
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 1013083476)
Enumeration Date
2016-11-05
Last Update Date
2016-11-05
Business Address
-- BRIANNA MAZZULLO CASAC-T
3911 RICHMOND AVE
STATEN ISLAND, NY 10312-5110
Phone number: 718-948-3232
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Mailing Address
-- BRIANNA MAZZULLO CASAC-T
4 MACON AVE
STATEN ISLAND, NY 10312-2013
Phone number: 347-682-6798
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