DALE ANTHONY FRASER

JAMAICA, NY
NPI1699339051
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-04-30
Last Update Date2019-04-30
Business Address
DALE ANTHONY FRASER
16318 JAMAICA AVE
JAMAICA, NY 11432-4919
Phone number: 718-658-0010
Mailing Address
DALE ANTHONY FRASER
16318 JAMAICA AVE
JAMAICA, NY 11432-4919
Phone number:
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