DERIC ALSTON

BROOKLYN, NY
NPI1790138162
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2016-07-20
Last Update Date2016-07-20
Business Address
-- DERIC ALSTON
1623 KINGS HWY
BROOKLYN, NY 11229-1209
Phone number: 718-375-1200
Mailing Address
-- DERIC ALSTON
1623 KINGS HWY
BROOKLYN, NY 11229-1209
Phone number: 718-375-1200
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