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1790001451
GUADALUPE RIVERA
BROOKLYN, NY
NPI
1790001451
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 24182)
Enumeration Date
2010-04-20
Last Update Date
2010-04-20
Business Address
Mr. GUADALUPE RIVERA CASAC
810 CLASSON AVE
BROOKLYN, NY 11238
Phone number: 718-230-5100
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Mailing Address
Mr. GUADALUPE RIVERA CASAC
60 KINGSLAND AVE #3B
BROOKLYN, NY 11211
Phone number: 347-671-1570
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