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1689163040
VANESSA M MALCOLM
BROOKLYN, NY
NPI
1689163040
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 33412)
Enumeration Date
2018-05-01
Last Update Date
2018-05-01
Business Address
VANESSA M MALCOLM
1664 E 14TH ST
BROOKLYN, NY 11229-1155
Phone number: 929-273-7601
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Mailing Address
VANESSA M MALCOLM
1664 E 14TH ST
BROOKLYN, NY 11229-1155
Phone number: 929-273-7601
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