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1811537657
EVAN MICHAEL ROSEN
STATEN ISLAND, NY
NPI
1811537657
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NY 36138)
Enumeration Date
2020-01-09
Last Update Date
2020-01-09
Business Address
MR. EVAN MICHAEL ROSEN CASAC-T
460 BRIELLE AVE
STATEN ISLAND, NY 10314-6427
Phone number: 718-816-6589
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Mailing Address
MR. EVAN MICHAEL ROSEN CASAC-T
460 BRIELLE AVE
STATEN ISLAND, NY 10314-6427
Phone number: 718-816-6589
Copy
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