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1801326053
KELLY THOMPSON
BRONX, NY
NPI
1801326053
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 25104)
Enumeration Date
2017-06-19
Last Update Date
2017-06-19
Business Address
KELLY THOMPSON
1080 E GUN HILL RD
BRONX, NY 10469-3742
Phone number: 718-653-1117
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Mailing Address
KELLY THOMPSON
1080 E GUN HILL RD
BRONX, NY 10469-3742
Phone number:
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