QUEEN-DESTINY MANSON

BRONX, NY
NPI1770150518
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-06-09
Last Update Date2021-06-09
Business Address
QUEEN-DESTINY MANSON CRPA
2761 SAMPSON AVE APT 3C
BRONX, NY 10465-2935
Phone number: 347-928-1314
Mailing Address
QUEEN-DESTINY MANSON CRPA
2761 SAMPSON AVE APT 3C
BRONX, NY 10465-2935
Phone number: 347-928-1314
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