DERRICK ALIF CROWLEY

CORTLAND, NY
NPI1811289549
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  25195)
Enumeration Date2011-05-13
Last Update Date2014-06-03
Business Address
-- DERRICK ALIF CROWLEY
17 MAIN ST
CORTLAND, NY 13045-6606
Phone number: 315-440-6611
Mailing Address
-- DERRICK ALIF CROWLEY
17 MAIN ST
SYRACUSE, NY 13209-1810
Phone number:
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