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1720346406
MICHAEL TIMOTHY BUCKLEY
BROOKLYN, NY
NPI
1720346406
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY CASAC 17580)
Enumeration Date
2012-05-01
Last Update Date
2012-05-01
Business Address
Mr. MICHAEL TIMOTHY BUCKLEY CASAC
449 39TH ST 4TH FLOOR
BROOKLYN, NY 11232-2909
Phone number: 718-871-7433
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Mailing Address
Mr. MICHAEL TIMOTHY BUCKLEY CASAC
449 39TH ST 4TH FLOOR
BROOKLYN, NY 11232-2909
Phone number: 718-871-7433
Copy
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