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1770761181
MAYRA EMILIA SANTANA
HUNTINGTON STATION, NY
NPI
1770761181
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 18589)
Enumeration Date
2008-02-07
Last Update Date
2008-02-07
Business Address
Ms. MAYRA EMILIA SANTANA CASAC
2075 NEW YORK AVE
HUNTINGTON STATION, NY 11746-3238
Phone number: 631-351-7112
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Mailing Address
Ms. MAYRA EMILIA SANTANA CASAC
350 FULTON ST
WEST BABYLON, NY 11704-2130
Phone number: 631-355-6889
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