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1811555238
LAWRENCE HAGGERTY
STATEN ISLAND, NY
NPI
1811555238
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 2-4752)
Enumeration Date
2019-05-31
Last Update Date
2019-05-31
Business Address
LAWRENCE HAGGERTY CASAC
201 FOREST AVE
STATEN ISLAND, NY 10301-2763
Phone number: 718-815-3155
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Mailing Address
LAWRENCE HAGGERTY CASAC
201 FOREST AVE
STATEN ISLAND, NY 10301-2763
Phone number: 718-815-3155
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